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Pulmonary Function

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Attention for Chapter 126: Variability of Transcutaneous Oxygen and Carbon Dioxide Pressure Measurements Associated with Sensor Location.
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Chapter title
Variability of Transcutaneous Oxygen and Carbon Dioxide Pressure Measurements Associated with Sensor Location.
Chapter number 126
Book title
Pulmonary Function
Published in
Advances in experimental medicine and biology, March 2015
DOI 10.1007/5584_2015_126
Pubmed ID
Book ISBNs
978-3-31-918789-1, 978-3-31-918790-7
Authors

Górska, K, Korczyński, P, Maskey-Warzęchowska, M, Chazan, R, Krenke, R, K. Górska, P. Korczyński, M. Maskey-Warzęchowska, R. Chazan, R. Krenke

Abstract

Transcutaneous measurement of oxygen and carbon dioxide pressure (PtcO2 and PtcCO2) is useful in gas exchange monitoring. However, the relationship between PtcO2, pulse oximetry (SaO2) and arterial blood gases (ABG) is unclear. The aim of the present study was to compare PtcO2 and PtcCO2 with SaO2 and ABG, to evaluate the effect of sensor location on the results and stability of PtcO2 and PtcCO2, and to assess the impact of body composition on PtcO2 and PtcCO2. PtcO2 and PtcCO2 were measured in 20 healthy volunteers at three locations: right second intercostal space, lateral surface of the abdomen, and the inner surface of the left arm. The results were recorded 10, 15, and 20 min after sensor fixation and compared with SaO2 and ABG measured 20 min after electrode placement on the chest. Body composition was evaluated by bioimpedance. The findings were that PtcO2 was stable on the chest; but on the arm and abdomen it increased and reached maximum at 20 min. Transcutaneous PCO2 stabilized at 10 min in all the three locations. No significant correlations between PtcO2 and SaO2 or PaO2 were found. Transcutaneous PCO2 correlated with PaCO2. Both PtcO2 and PtcCO2 were not influenced by body composition. We conclude that the value of PtcO2 in monitoring of blood oxygenation was not unequivocally confirmed; PtcCO2 reliably reflects PaCO2, irrespective of sensor location. Body composition does not affect PtcO2 and PtcCO2.

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Mendeley readers

The data shown below were compiled from readership statistics for 21 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 21 100%

Demographic breakdown

Readers by professional status Count As %
Researcher 3 14%
Student > Ph. D. Student 3 14%
Student > Bachelor 2 10%
Student > Doctoral Student 1 5%
Lecturer 1 5%
Other 4 19%
Unknown 7 33%
Readers by discipline Count As %
Medicine and Dentistry 6 29%
Nursing and Health Professions 4 19%
Biochemistry, Genetics and Molecular Biology 1 5%
Agricultural and Biological Sciences 1 5%
Engineering 1 5%
Other 0 0%
Unknown 8 38%