Ranieri M, Klein S, Kotrade A, Taeger C, Dolderer JD, Prantl L, Geis S (2017)
Publication Type: Journal article
Publication year: 2017
Book Volume: 66
Pages Range: 231-238
Journal Issue: 3
DOI: 10.3233/CH-170266
BACKGROUND: A physiological oxygen transport through a circulatory and microcirculatory system is essential for execution of cellular functions. Several pathological conditions e.g. infections, ischemia, cancer, diabetes, hypertension or chronic wounds show a change of oxygen distribution and oxygen tension in cellular microenvironment. Additionally complex operative procedures in order to reconstruct tissue defects require a reliable monitoring of microcirculation. OBJECTIVE: Target of this study was to evaluate skin oxygenation during an ischemia-reperfusion experiment using transepidermal oxygen flux imaging. METHODS: Twelve patients at the Department of Plastic and Reconstructive surgery of the University hospital of Regensburg underwent to elective hand operations. During the operation a tourniquet is standardly set on the upper arm to create ischemia in order to facilitate the operative procedure. Measurements were performed at the different time intervals: in rest, under ischemia and after reperfusion. RESULTS: The transepidermal oxygen flux increased during the ischemic condition compared to normal condition and decreased to a lower value during reperfusion (rest: 0.043±0.007, ischemia: 0.063±0.014, reperfusion: 0.030±0.028). CONCULSION: Transepidermal oxygen flux imaging by ratiometric luminescence imaging seems to be a reliable tool to assess skin oxygenation. However dynamic changes seem to be more informative than absolute thresholds. Further investigations are necessary to prove these promising results.
APA:
Ranieri, M., Klein, S., Kotrade, A., Taeger, C., Dolderer, J.D., Prantl, L., & Geis, S. (2017). Transepidermal oxygen flux during arterial occlusion using ratiometric luminescence imaging. Clinical hemorheology and microcirculation, 66(3), 231-238. https://doi.org/10.3233/CH-170266
MLA:
Ranieri, M., et al. "Transepidermal oxygen flux during arterial occlusion using ratiometric luminescence imaging." Clinical hemorheology and microcirculation 66.3 (2017): 231-238.
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