Journal of Vascular Nursing
Volume 26, Issue 1 , Pages 6-14 , March 2008

The effects of leg/body position on transcutaneous oxygen measurements after lower-extremity arterial revascularization

  • Kathleen Rich, PhD, RN, CCNS

      Affiliations

    • Corresponding Author InformationCorresponding author: Kathleen Rich, PhD, RN, CCNS, Cardiovascular Clinical Specialist, La Porte Regional Health System, 1007 Lincolnway, La Porte, IN 46350.

References 

  1. American Heart Association. 2007 heart disease and stroke statistics. www.americanheart.org/statisticsAccessed May 22, 2007
  2. Mohler E. Peripheral arterial disease identification and implications. Arch Intern Med. 2003;163:2306–2314
  3. Nettina S, Mills E. Vascular disorders. In: Lippincott manual of nursing practice. 8th ed.. Philadelphia: Lippincott Williams & Wilkins; 2005;p. 430–464
  4. Lewis C. A performance improvement initiative: development of a peripheral vascular pathway. J Vasc Nurs. 2000;18:13–19
  5. Fahey V, Schindler N. Arterial reconstruction of the lower extremity. In:  Fahey V editors. Vascular nursing. 4th ed.. St. Louis: Saunders; 2004;p. 251–286
  6. Ronayne R. Lower extremity peripheral arterial disease. In:  Lewis P,  Aquila A,  Walsh M editor. Core curriculum for vascular nursing. Massachusetts: Society for Vascular Nursing; 2007;p. 163–165
  7. Zierler R, Sumner D. Physiologic assessment of peripheral arterial occlusive disease. In:  Rutherford R editors. Vascular surgery. 6 ed.. Philadelphia: Elsevier; 2005;p. 215–218
  8. Hauser C, Appel P, Shoemaker W. Pathophysiologic classification of peripheral vascular disease by positional changes in regional transcutaneous oxygen tension. Surgery. 1984;95:689–693
  9. Castronuovo J. The role of skin perfusion pressure and transcutaneous partial pressure oxygen measurements in chronic critical limb ischemia. In:  Mansour M,  Labropoulos N editor. Vascular diagnosis. Philadelphia: Elsevier; 2005;p. 247–2552005
  10. Bongard O, Krahenbuhl B. Pedal blood flow and transcutaneous po2 in normal subjects and in patients suffering from severe arterial occlusive disease. Clin Physiol. 1984;4:393–401
  11. Byrne P, Provan J, Ameli F, Jones D. The use of transcutaneous oxygen tension measurements in the diagnosis of peripheral vascular insufficiency. Ann Surg. 1984;200:159–165
  12. Cina C, Katsamouris A, Megerman J, et al. Utility of transcutaneous oxygen tension measurements in peripheral arterial occlusive disease. J Vasc Surg. 1984;1:362–371
  13. Quigley F, Faris I. Transcutaneous oxygen tension measurements in the assessment of limb ischaemia. Clin Physiol. 1991;11:315–320
  14. Liu Y, Steinacker J, Stauch M. Transcutaneous oxygen tension and Doppler ankle pressure during upper and lower body exercise in patients with peripheral arterial occlusive disease. Angiology. 1995;46:689–698
  15. Gardner A. Claudication pain and hemodynamic responses to exercise in younger and older peripheral arterial disease patients. J Gerontol. 1993;48:M231–M236
  16. Abraham P, Picquet J, Vielle B, et al. Transcutaneous oxygen pressure measurements on the buttocks during exercise to detect proximal arterial ischemia, comparison with arteriography. Circulation. 2003;107:1896–1900
  17. Harward T, Volny J, Golbranson F, et al. Oxygen inhalation-induced transcutaneous po2 changes as a predictor of amputation level. J Vasc Surg. 1985;2:220–227
  18. Hart G, Meyer G, Strauss M, Messina V. Transcutaneous partial pressure of oxygen measured in a monoplace chamber at 1, 1.5, and 2 atm abs oxygen. J Hyperb Med. 1990;5:223–229
  19. Strauss M, Breedlove J, Hart G. Use of transcutaneous oxygen measurements to predict healing in foot wounds. Undersea Hyperb Med. 1997;24(suppl):15
  20. Rooke T, Osmundson P. Variability and reproducibility of transcutaneous oxygen tension measurements in the assessment of peripheral vascular disease. Angiology. 1989;695–700
  21. Scheffler A, Rieger H. A comparative analysis of transcutaneous oximetry [tcpo2] during oxygen inhalation and leg dependency in severe peripheral arterial occlusive disease. J Vasc Surg. 1992;16:218–224
  22. Ubbink D, Tulevski I, deGraff J, et al. Optimisation of the non-invasive assessment of critical limb ischemia requiring invasive treatment. Eur J Vasc Endovasc Surg. 2000;19:131–137
  23. Larsen J, Jensen B, Christensen K, Egeblad K. Forefoot transcutaneous oxygen tension at different leg positions in patients with peripheral vascular disease. Eur J Vasc Surg. 1990;4:185–189
  24. Scheffler A, Eggert S, Rieger H. Influence of clinical findings, positional manoeuvres, and systolic ankle arterial pressure on transcutaneous oxygen tension in peripheral arterial occlusive disease. Eur J Clin Invest. 1992;22:420–426
  25. Osmundson P, Rooke T, Hallett J. Effect of arterial revascularization on transcutaneous oxygen tension of the ischemic extremity. Mayo Clin Proc. 1988;63:897–902
  26. Moosa H, Peitzmann A, Makaroun M, et al. Transcutaneous oxygen measurements in lower extremity ischemia; effects of position, oxygen inhalation, and arterial reconstruction. Surgery. 1988;103:193–198
  27. Samson R, Gupta S, Goldstein R, et al. Evaluation of peripheral arterial disease using a transcutaneous oxygen tension sensor. In:  Huch R,  Huch A editor. Continuous transcutaneous blood gas monitoring. New York: Marcel Dekker, Inc; 1983;p. 689–696
  28. Ohgi S, Ito K, Mori T. Quantitative evaluation of ischemic legs before and after arterial reconstruction by transcutaneous po2 measurment. In:  Huch R,  Huch A editor. Continuous transcutaneous blood gas monitoring. New York: Marcel Dekker, Inc; 1983;p. 697–708
  29. Oh P, Provan J. The predictability of the success of arterial reconstruction by means of transcutaneous oxygen tension measurements. J Vasc Surg. 1987;5:356–362
  30. Rich K. Effects of leg and body position on transcutaneous oxygen measurements in healthy subjects and subjects with peripheral artery disease after lower-extremity arterial revascularization: a pilot study. J Vasc Nurs. 2002;20:125–135
  31. Wipke-Tevis D, Stotts N, Williams D, et al. Tissue oxygenation, perfusion, and position in patients with venous leg ulcers. Nurs Res. 2001;50:24–32
  32. Baldwin K. Transcutaneous oximetry and skin surface temperature as objective measures of pressure ulcer risk. Adv Skin Wound Care. 2001;14:26–41
  33. Kelechi T, Michel Y. A descriptive study of skin temperature, tissue perfusion and tissue oxygen in patients with chronic venous disease. Bio Res Nurs. 2007;9:70–80
  34. Eickhoff J, Jacobsen E. Correlation of transcutaneous oxygen tension to blood flow in heated skin. Scand J Clin Lab Invest. 1980;40:761–765
  35. Van Duzee B. Thermal analysis of human stratum corneum. J Invest Dermatol. 1975;65:404–408
  36. Aabech A, Jensen F, Utzon N, et al. Effect of electrode temperature on orthostatic changes in forefoot transcutaneous oxygen measurements (tc-po2). Scand J Clin Lab Invest. 1988;48:475–480
  37. Creutzig A, Dau D, Caspary L, Alexander K. Transcutaneous oxygen pressure measured at two different electrode temperatures in healthy volunteers and patients with arterial occlusive disease. Int J Microcirc Clin Exp. 1987;5:373–380
  38. In: Radiometer Medical A/S. TCM 30 transcutaneous po2 monitoring system operator’s manual. Radiometer Copenhagen. 1998;p. 1.1–7.5
  39. Barnes M, Mani R, Barrett D. How to measure oedema changes in chronic venous insufficiency. Phlebology. 1991;7:31–36
  40. Gerber L. A review of measures of lymphedema. Cancer. 1998;83(suppl):2803–2804
  41. Treat-Jacobson D, Robinson C, Lovell M, Lewis P, Schmidt M. Peripheral arterial disease education and ABI training for nurses. http://svnabi.com/index.php?left=10&main/svn%202006%20abi%20registry%20members%20a-zAccessed October 15, 2007
  42. Gagliese L, Melzack R. Age differences in the quality of chronic pain: a preliminary study. Pain Res Manag. 1997;2:157–162
  43. Mayrovitz H, Sims N, MacDonald J. Assessment of limb volume by manual and automated methods in patients with limb edema or lymphedema. Adv Skin Wound Care. 2000;14:272–276
  44. Clarke D. Transcutaneous monitoring of po2 in hyperbaric medicine. 1997;Copenhagen; Radiometer
  45. Kotloff R. Acute respiratory failure in the surgical patient. In:  Fishma A,  Elias J,  Fishman J,  Grippi M,  Kaiser L,  Senior R editor. Fishman’s pulmonary diseases and disorders volume 2. (3rd ed.). New York: McGraw-Hill; 1998;p. 2591–2595

 Support for this study was provided by the Society for Vascular Nursing and Radiometer America, Inc.

PII: S1062-0303(07)00102-1

doi: 10.1016/j.jvn.2007.09.002

Journal of Vascular Nursing
Volume 26, Issue 1 , Pages 6-14 , March 2008