Transcutaneous oximetry in clinical practice: consensus statements from an expert panel based on evidence.
Transcutaneous oximetry in clinical practice: consensus statements from an expert panel based on evidence.
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临床实践中的经皮血氧测定法：专家小组基于证据的共识声明。
DOI：
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发表时间：
2009
影响因子：
0.9
通讯作者：
D. Clarke
中科院分区：
文献类型：
--
作者：
Caroline E. Fife;David Smart;P. Sheffield;Harriet W. Hopf;Glen Hawkins;D. Clarke
经皮血氧饱和度（PtcO2）作为评估伤口、溃疡和皮瓣的伤口周围氧分压的诊断工具的应用越来越多。必须记住，PtcO2测量伤口相邻区域的氧分压，并不代表伤口内的实际氧分压，这是非常难以执行的。为了提供临床实践指南，召集了一个专家小组，参加者来自2007年6月13日在夏威夷毛伊岛举行的经皮血氧测定研讨会。重要的共识声明是（a）组织缺氧定义为PtcO 2 <40 mm Hg;（B）在无血管疾病的患者中，当在常压下呼吸100%氧气时，肢体上的PtcO 2值增加到> 100 mm Hg的值;（c）严重肢体缺血的病人（踝关节收缩压<或= 50 mm Hg或脚趾收缩压<或= 30 mm Hg）呼吸空气的PtcO2通常<30 mm Hg;（d）在呼吸常压空气时获得的低PtcO2值可能由扩散屏障引起;（e）在呼吸常压空气时获得的PtcO2 <40 mm Hg与截肢愈合的可能性降低有关;（f）如果在呼吸100%常压氧时，基线PtcO2增加<10 mm Hg，则这在预测截肢后愈合失败方面至少准确68%;（g）血管重建后，在常压空气呼吸过程中PtcO2升高至> 40 mm Hg通常与随后的愈合有关，尽管PtcO2的升高可能会延迟;（h）在呼吸常压空气时获得的PtcO2有助于确定哪些患者不会自发愈合。
Transcutaneous oximetry (PtcO2) is finding increasing application as a diagnostic tool to assess the peri-wound oxygen tension of wounds, ulcers, and skin flaps. It must be remembered that PtcO2 measures the oxygen partial pressure in adjacent areas of a wound and does not represent the actual partial pressure of oxygen within the wound, which is extremely difficult to perform. To provide clinical practice guidelines, an expert panel was convened with participants drawn from the transcutaneous oximetry workshop held on June 13, 2007, in Maui, Hawaii. Important consensus statements were (a) tissue hypoxia is defined as a PtcO2 <40 mm Hg; (b) in patients without vascular disease, PtcO2 values on the extremity increase to a value >100 mm Hg when breathing 100% oxygen under normobaric pressures; (c) patients with critical limb ischemia (ankle systolic pressure of < or =50 mm Hg or toe systolic pressure of < or =30 mm Hg) breathing air will usually have a PtcO2 <30 mm Hg; (d) low PtcO2 values obtained while breathing normobaric air can be caused by a diffusion barrier; (e) a PtcO2 <40 mm Hg obtained while breathing normobaric air is associated with a reduced likelihood of amputation healing; (f) if the baseline PtcO2 increases <10 mm Hg while breathing 100% normobaric oxygen, this is at least 68% accurate in predicting failure of healing post-amputation; (g) an increase in PtcO2 to >40 mm Hg during normobaric air breathing after revascularization is usually associated with subsequent healing, although the increase in PtcO2 may be delayed; (h) PtcO2 obtained while breathing normobaric air can assist in identifying which patients will not heal spontaneously.
静脉疾病中的毛细血管周围纤维蛋白袖带。
DOI：
10.1111/j.1524-4725.1997.tb00759.x
发表时间：
1997
期刊：
Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]
影响因子：
--
作者：
VandeScheur,M;Falanga,V
通讯作者：
Falanga,V
营养和伤口愈合。
DOI：
10.1177/014860719401800417
发表时间：
1994
期刊：
JPEN. Journal of parenteral and enteral nutrition
影响因子：
--
作者：
Albina,JE
通讯作者：
Albina,JE