Skip to main content

Transcutaneous H2 Clearance - A New Least-Invasive Method for Assessing Skin Blood Flow

  • Chapter
Oxygen Transport to Tissue XVI

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 361))

  • 23 Accesses

Abstract

Although there is a wide variety of methods available for measuring or, more precisely, assessing skin blood flow (for a review see Swain and Grant, 1989), the only current method available for measuring skin blood volume flow at a local level, i.e. within areas of a few mm2 and in terms of m1/100g/min, is by use of radioactively labelled freely diffusible indicators (see for example Spence et al., 1985b). Such techniques have proved to be particularly reliable in predicting the outcome of below (versus above) knee amputation in patients with critical lower limb ischaemia (McCollum et al., 1988). However, the technique is invasive (albeit minimally) in that an intracutaneous injection is necessary, it requires the application of a radioactive substance, and above all it is necessary for the patient to remain quite still during the period of recording the clearance, a task which - because of pain - is often difficult for such patients to fulfil.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Altman, P.L. and Dittmer, D.S.. 1974 “Biology Data Book,” 2nd Ed., Vol. 3, FEBS, Bethesda, MD.

    Google Scholar 

  • Clark, L.C. and Bargeron, L.M., 1959, Detection and direct recording of left-to-right shunts with the hydrogen electrode catheter, Surgery 46:797.

    PubMed  Google Scholar 

  • Gotoh, F., Meyer, J.S. and Tomita, M., 1966, Hydrogen method for determining cerebral blood flow in man, Arch. Neural 15:549.

    Article  CAS  Google Scholar 

  • Harrison, D.K., Gunther, H., Vogel, H., Ellermann, R., Brunner, M., Hoper, J. and Kessler, M., 1985, Oxygen supply and microcirculation of the beating dog heart after haemodilution with Fluosol DA 20, Adv. Exp. Med. Biol. 191:445.

    Article  PubMed  CAS  Google Scholar 

  • Harrison, D.K. and Kessler, M., 1989a, A multiwire hydrogen electrode for in vivo use, Phys. Med. Biol.,34:1397.

    Article  CAS  Google Scholar 

  • Harrison, D.K. and Kessler, M., 1989b, Local hydrogen clearance as a method for the measurement of capillary blood flow, Phys. Med. Biol. 34:1413.

    Article  CAS  Google Scholar 

  • Harrison, D.K., Kessler, M., Birkenhake, S. and Knauf, S.K., 1990, Regulation of capillary blood flow and oxygen supply in contracting skeletal muscle in dogs and rabbits, J. Physiol. (Land.) 422:227.

    CAS  Google Scholar 

  • Harrison D.K., Abbot, N.C., Swanson Beck, J. and McCollum, P.T., 1993, A preliminary assessment of laser Doppler imaging for measurement of skin perfusion using the tuberculin reaction in human skin as a model, Phys. Meas. 14:241.

    Article  CAS  Google Scholar 

  • Hauser, C.J., 1987, Tissue salvage by mapping of skin surface transcutaneous oxygen tension index, Arch. Surg. 122:1128.

    Article  PubMed  CAS  Google Scholar 

  • Huch, R., Ltibbers, D.W. and Huch, A., 1972, Quantitative continuous measurement of partial oxygen pressure on the skin of adults and newborn babies, Pflug. Arch. ges. Physiol. 337:185.

    Article  CAS  Google Scholar 

  • Khan, F., Spence, V.A., Wilso, S.B and Abbott, N.C., 1991, Quantification of sympathetic vascular responses in skin by laser Doppler flowmetry, Int. J. Microcirc: Clin. Exp. 10:145.

    CAS  Google Scholar 

  • Kozniewska, E., Weller, L., Hoper, J., Harrison, D.K. and Kessler, M., 1987, Cerebrocortical microcirculation in different stages of hypoxic hypoxia, J Cerebr. Blood Flow Metab. 7:464.

    Article  CAS  Google Scholar 

  • McCollum, P.T., Spence, V.A. and Walker, W.F., 1988, Amputation for peripheral vascular disease: the case for level selection, Br. J. Surg. 75:1193.

    Article  PubMed  CAS  Google Scholar 

  • McCollum, P.T., Harrison, D.K., Abi Raad, R., Newton, D. and Holdsworth, R.J., 1993, H2 clearance as a non-invasive technique for measuring skin blood flow in critical ischaemia, Br. J. Surg. in press.

    Google Scholar 

  • Spence, V.A., McCollum, P.T., McGregor I. W., Sherwin, S.J. and Walker, W.F., 1985a, The effect of the transcutaneous electrode on the variability of dermal oxygen tension changes, Clin. Phys. Physiol. Meas. 6:139.

    Article  CAS  Google Scholar 

  • Spence, V.A., McCollum, P.T. and Walker, W.F., 1985b, Comparative studies of cutaneous haemodynamics in regions of normal and reduced perfusion, in: “Practical Aspects of Skin Blood Flow Measurement.” V.A. Spence and C.D. Sheldon, eds., Biological Engineering Society, London.

    Google Scholar 

  • Swain, I.D. and Grant, L.J., 1989, Methods for measuring skin blood flow, Phys. Med. Biol. 34:151.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1994 Springer Science+Business Media New York

About this chapter

Cite this chapter

Harrison, D.K., Raad, R.A., Newton, D.J., McCollum, P.T. (1994). Transcutaneous H2 Clearance - A New Least-Invasive Method for Assessing Skin Blood Flow. In: Hogan, M.C., Mathieu-Costello, O., Poole, D.C., Wagner, P.D. (eds) Oxygen Transport to Tissue XVI. Advances in Experimental Medicine and Biology, vol 361. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-1875-4_23

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-1875-4_23

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-5763-6

  • Online ISBN: 978-1-4615-1875-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics