scholarly journals Increased tissue oxygenation explains the attenuation of hyperemia upon repetitive pneumatic compression of the lower leg

2017 ◽  
Vol 123 (6) ◽  
pp. 1451-1460 ◽  
Author(s):  
Alessandro Messere ◽  
Gianluca Ceravolo ◽  
Walter Franco ◽  
Daniela Maffiodo ◽  
Carlo Ferraresi ◽  
...  
Keyword(s):  
Blood Flow ◽  
Blood Volume ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Femoral Vein ◽  
Lower Leg ◽  
Local Circulation ◽  
Doppler Measurement ◽  
Key Factor ◽  
Interstimulus Intervals

The rapid hyperemia evoked by muscle compression is short lived and was recently shown to undergo a rapid decrease even in spite of continuing mechanical stimulation. The present study aims at investigating the mechanisms underlying this attenuation, which include local metabolic mechanisms, desensitization of mechanosensitive pathways, and reduced efficacy of the muscle pump. In 10 healthy subjects, short sequences of mechanical compressions ( n = 3–6; 150 mmHg) of the lower leg were delivered at different interstimulus intervals (ranging from 20 to 160 s) through a customized pneumatic device. Hemodynamic monitoring included near-infrared spectroscopy, detecting tissue oxygenation and blood volume in calf muscles, and simultaneous echo-Doppler measurement of arterial (superficial femoral artery) and venous (femoral vein) blood flow. The results indicate that 1) a long-lasting (>100 s) increase in local tissue oxygenation follows compression-induced hyperemia, 2) compression-induced hyperemia exhibits different patterns of attenuation depending on the interstimulus interval, 3) the amplitude of the hyperemia is not correlated with the amount of blood volume displaced by the compression, and 4) the extent of attenuation negatively correlates with tissue oxygenation ( r = −0,78, P < 0.05). Increased tissue oxygenation appears to be the key factor for the attenuation of hyperemia upon repetitive compressive stimulation. Tissue oxygenation monitoring is suggested as a useful integration in medical treatments aimed at improving local circulation by repetitive tissue compression. NEW & NOTEWORTHY This study shows that 1) the hyperemia induced by muscle compression produces a long-lasting increase in tissue oxygenation, 2) the hyperemia produced by subsequent muscle compressions exhibits different patterns of attenuation at different interstimulus intervals, and 3) the extent of attenuation of the compression-induced hyperemia is proportional to the level of oxygenation achieved in the tissue. The results support the concept that tissue oxygenation is a key variable in blood flow regulation.

Measurement of Peripheral Venous Oxygen Saturation in the Leg Using Near-Infrared Spectroscopy

1997 ◽  
Vol 12 (3) ◽  
pp. 96-99 ◽  
Author(s):  
D. Wertheim ◽  
R. Salaman ◽  
J. Melhuish ◽  
R. Williams ◽  
I. Lane ◽  
...  
Keyword(s):  
Near Infrared ◽  
Tissue Oxygenation ◽  
Venous Occlusion ◽  
Lower Leg ◽  
Non Invasive ◽  
Short Period ◽  
Venous Oxygen Saturation ◽  
Invasive Method ◽  
Healing Of Wounds ◽  
Total Haemoglobin

Background: It has been suggested that poor healing of wounds may be associated with reduced tissue oxygenation. A non-invasive method of assessing peripheral venous oxygenation has been investigated. Method: Changes in oxyhaemoglobin (O2Hb), deoxyhaemoglobin (HHb), oxidized cytochrome aa3 (cyt aa3) and total haemoglobin (tHb) were monitored in the left lower leg of seven healthy volunteers. A short period of venous occlusion was achieved by rapidly inflating a sphygmomanometer cuff placed around the leg to 60 mmHg. The changes in O2Hb and tHb, with respect to the baseline readings, were evaluated. PSvO2 was calculated from (ΔO2Hb/ΔtHb) × 100%. Results: From 17 sets of readings on the seven volunteers the median PSvO2 calculated was 64% (range 50–86%). Conclusion: This method appears to be a simple means of evaluating PSvO2. A change in cyt aa3 was often seen associated with the venous occlusion.

scholarly journals Can Cerebral Blood Volume Be Measured Reproducibly with an Improved near Infrared Spectroscopy System?

2001 ◽  
Vol 21 (2) ◽  
pp. 110-113 ◽  
Author(s):  
Marjo J. T. Van de Ven ◽  
Willy N. J. M. Colier ◽  
Marco C. van der Sluijs ◽  
Diederik Walraven ◽  
Berend Oeseburg ◽  
...  
Keyword(s):  
Blood Flow ◽  
Cerebral Blood Flow ◽  
Infrared Spectroscopy ◽  
Blood Volume ◽  
Near Infrared Spectroscopy ◽  
Healthy Subjects ◽  
Baseline Level ◽  
Near Infrared ◽  
Cerebral Blood Volume ◽  
Spectroscopy System

In some circumstances, cerebral blood volume (CBV) can be used as a measure for cerebral blood flow. A new near infrared spectroscope was used for determining the reproducibility of CBV measurements assessed by the O2-method. Twenty-seven healthy subjects were investigated. An intrasubject coefficient of variation (CV) was calculated, based on four identical episodes of desaturation–resaturation (O2-method) procedures for CBV measurements. Two trials were performed, with (trial 1) and without (trial 2) disconnecting the equipment. A mean CV of 12.6% and 10.0% was found in trial 1 and 2, respectively. Cerebral blood volume values yield 3.60 ± 0.82 mL 100 g−1. Cerebral blood volume could be measured reproducible in adults using near infrared spectroscopy, if the arterial desaturation is limited to approximately 5% from baseline level.

scholarly journals Portable Near-Infrared Technologies and Devices for Noninvasive Assessment of Tissue Hemodynamics

2019 ◽  
Vol 2019 ◽  
pp. 1-11 ◽  
Author(s):  
Lin Hou ◽  
Yinqiu Liu ◽  
Lixia Qian ◽  
Yucong Zheng ◽  
Jinnan Gao ◽  
...  
Keyword(s):  
Blood Flow ◽  
Flow Measurement ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Oxygen Metabolism ◽  
Correlation Spectroscopy ◽  
Tissue Blood Flow ◽  
Diffuse Optical Spectroscopy ◽  
Diffuse Correlation Spectroscopy ◽  
Custom Made

Tissue hemodynamics, including the blood flow, oxygenation, and oxygen metabolism, are closely associated with many diseases. As one of the portable optical technologies to explore human physiology and assist in healthcare, near-infrared diffuse optical spectroscopy (NIRS) for tissue oxygenation measurement has been developed for four decades. In recent years, a dynamic NIRS technology, namely, diffuse correlation spectroscopy (DCS), has been emerging as a portable tool for tissue blood flow measurement. In this article, we briefly describe the basic principle and algorithms for static NIRS and dynamic NIRS (i.e., DCS). Then, we elaborate on the NIRS instrumentation, either commercially available or custom-made, as well as their applications to physiological studies and clinic. The extension of NIRS/DCS from spectroscopy to imaging was depicted, followed by introductions of advanced algorithms that were recently proposed. The future prospective of the NIRS/DCS and their feasibilities for routine utilization in hospital is finally discussed.

Local blood circulation among knee extensor synergists in relation to alternate muscle activity during low-level sustained contraction

2003 ◽  
Vol 95 (1) ◽  
pp. 49-56 ◽  
Author(s):  
Motoki Kouzaki ◽  
Minoru Shinohara ◽  
Kei Masani ◽  
Masanobu Tachi ◽  
Hiroaki Kanehisa ◽  
...  
Keyword(s):  
Blood Volume ◽  
Muscle Activity ◽  
Cross Correlation ◽  
Near Infrared ◽  
Time Lag ◽  
Knee Extensor ◽  
Local Circulation ◽  
Sustained Contraction ◽  
Low Level ◽  
Cross Correlation Analysis

The relation between local circulation and alternate muscle activity among knee extensor synergists was determined during low-level sustained knee extension at 2.5% of maximal voluntary contraction for 60 min in seven subjects. Blood volume of rectus femoris (RF) and vastus lateralis (VL) was assessed by using near-infrared spectroscopy. Surface electromyogram (EMG) was recorded from RF, VL, and vastus medialis (VM). Alternate muscle activity was observed between RF and either VL or VM. Cross-correlation analysis was used to investigate the relation between blood volume and integrated EMG (iEMG) sequences throughout the task. One negative peak in the cross-correlation function was seen between the iEMG and blood volume with time lag of 30–60 s, indicating that muscle activity increases (or decreases) with the decrease (or increase) in local circulation with the corresponding time lag. Two cases in the emergence of alternate muscle activities, i.e., an increase in the EMG of RF accompanied by a decline of EMG in VL ( case I) and vice versa ( case II) were further analyzed. The time lag between iEMG and blood volume was longer in case I than that in case II. These results were statistically significant in the RF but not in the VL. It is concluded that even during low-level sustained contraction, local circulation is modulated by the alternate muscle activity of knee extensor synergists, and a negative correlation between the muscle activity and blood volume sequences was found in only RF but not in VL.

Noninvasive assessment of sympathetic vasoconstriction in human and rodent skeletal muscle using near-infrared spectroscopy and Doppler ultrasound

2004 ◽  
Vol 96 (4) ◽  
pp. 1323-1330 ◽  
Author(s):  
Paul J. Fadel ◽  
David M. Keller ◽  
Hitoshi Watanabe ◽  
Peter B. Raven ◽  
Gail D. Thomas
Keyword(s):  
Skeletal Muscle ◽  
Blood Flow ◽  
Doppler Ultrasound ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Nir Spectroscopy ◽  
Sympathetic Nerves ◽  
Sympathetic Activation ◽  
Sympathetic Vasoconstriction ◽  
Highly Correlated

The precise role of the sympathetic nervous system in the regulation of skeletal muscle blood flow during exercise has been challenging to define in humans, partly because of the limited techniques available for measuring blood flow in active muscle. Recent studies using near-infrared (NIR) spectroscopy to measure changes in tissue oxygenation have provided an alternative method to evaluate vasomotor responses in exercising muscle, but this approach has not been fully validated. In this study, we tested the hypothesis that sympathetic activation would evoke parallel changes in tissue oxygenation and blood flow in resting and exercising muscle. We simultaneously measured tissue oxygenation with NIR spectroscopy and blood flow with Doppler ultrasound in skeletal muscle of conscious humans ( n = 13) and anesthetized rats ( n = 9). In resting forearm of humans, reflex activation of sympathetic nerves with the use of lower body negative pressure produced graded decreases in tissue oxygenation and blood flow that were highly correlated ( r = 0.80, P < 0.0001). Similarly, in resting hindlimb of rats, electrical stimulation of sympathetic nerves produced graded decreases in tissue oxygenation and blood flow velocity that were highly correlated ( r = 0.93, P < 0.0001). During rhythmic muscle contraction, the decreases in tissue oxygenation and blood flow evoked by sympathetic activation were significantly attenuated ( P < 0.05 vs. rest) but remained highly correlated in both humans ( r = 0.80, P < 0.006) and rats ( r = 0.92, P < 0.0001). These data indicate that, during steady-state metabolic conditions, changes in tissue oxygenation can be used to reliably assess sympathetic vasoconstriction in both resting and exercising skeletal muscle.

scholarly journals Near Infrared Spectroscopy (NIRS) in the clinical setting – An adjunct to monitoring during diagnosis and treatment

2005 ◽  
Vol 19 (5,6) ◽  
pp. 221-233 ◽  
Author(s):  
R. E. Gagnon ◽  
A. J. Macnab
Keyword(s):  
Blood Flow ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Medical Literature ◽  
Redox Status ◽  
Cellular Respiration ◽  
Animal Trials ◽  
Wide Range ◽  
Oxygenation Status ◽  
Monitoring Devices

Since clinical near infrared spectrophotometers (NIRS) first became commercially available in the early 1990's there have been more than two thousand related peer reviewed reports in the medical literature. These encompass a wide range of human and animal trials that have been directed at validating the principles, methods, and algorithms underlying the technology, as well as demonstrating its potential for specific clinical uses such as detecting concealed bleeding, onset of hypoxia, progress of ischemia, and tissue oxygenation status within human brain, muscles, organs, and tumours. In addition to its standard use as a monitor of patterns of change in the concentrations of oxygenated, and de-oxygenated hemoglobin residing in blood, NIRS has also been used to monitor patterns of change in the redox status of the cellular respiration enzyme, cytochrome c oxidase (Cyt a,a3) which utilizes the oxygen diffused from the blood. Accompanied by a tracer bolus of near infrared absorbing dye, NIRS has also been used to measure the proportional blood flow and blood volume transiting organs. NIRS has been used in conjunction with PET, fMRI, BOLD-fMRI, TCD, vascular flowmetry, MRS, NMR, plethysmography, PO2histography, EEG, ECG, EMG, SSEP, MEP, MEG, and standard bedside monitoring devices. Herein we summarize the history, technique, algorithms, methods and advances of clinical NIRS.

The use of near-infrared spectroscopy in the diagnosis of peripheral artery disease: A systematic review

Vascular ◽  
2021 ◽  
pp. 170853812110251
Author(s):  
Tomas Baltrūnas ◽  
Valerija Mosenko ◽  
Artūras Mackevičius ◽  
Vilius Dambrauskas ◽  
Ingrida Ašakienė ◽  
...  
Keyword(s):  
Blood Flow ◽  
Infrared Spectroscopy ◽  
Near Infrared Spectroscopy ◽  
Near Infrared ◽  
Tissue Oxygenation ◽  
Arterial Disease ◽  
Diabetic Patients ◽  
Peripheral Artery ◽  
Artery Disease ◽  
Peripheral Arterial

Background Peripheral arterial disease is a stenosis or occlusion of peripheral arteries that results in compromised blood flow and muscle ischemia. The available diagnostic methods are mostly used to measure and visualize blood flow and are not useful in the evaluation of perfusion, especially in diabetic patients, which is now considered to be a research priority by most of the vascular societies around the world as this is still a relatively poorly studied phenomenon. Objective The aim of this review is to explore the clinical significance of muscle tissue oxygenation monitoring in lower-extremity peripheral artery disease diagnosis using the near-infrared spectroscopy method. Methods A systematic search in PubMed, CINAHL, and Cochrane databases was performed to identify clinical near-infrared spectroscopy (NIRS) studies in English and Russian, published until September 2019, involving muscle tissue oxygenation in peripheral arterial disease (PAD). The manuscripts were reviewed by two researchers independently and scored on the quality of the research using MINORS criteria. Results After screening 443 manuscripts, 23 studies ( n = 1580) were included. NIRS-evaluated recovery time seems to be more accurate than ankle-brachial index in diabetic patients to differentiate between moderate and severe claudication. Consistent findings across all the included studies showed that both the oxygenation and deoxygenation rates as well as the recovery times varied from patient to patient and therefore were not suitable for standardization. Conclusions The clinical relevance of routine use of NIRS to diagnose PAD is unproven; therefore, its use is not currently part of standard-of-care for patients with PAD since the absolute values seem to vary significantly, depending on the outside conditions. More data need to be provided on the possible use of NIRS monitoring intraoperatively where the conditions can be more controlled.

Effects of respiratory muscle unloading on leg muscle oxygenation and blood volume during high-intensity exercise in chronic heart failure

2008 ◽  
Vol 294 (6) ◽  
pp. H2465-H2472 ◽  
Author(s):  
Audrey Borghi-Silva ◽  
Cláudia Carrascosa ◽  
Cristino Carneiro Oliveira ◽  
Adriano C. Barroco ◽  
Danilo C. Berton ◽  
...  
Keyword(s):  
Heart Failure ◽  
Blood Flow ◽  
Chronic Heart Failure ◽  
Blood Volume ◽  
Near Infrared ◽  
Vastus Lateralis ◽  
Oxygenation Index ◽  
Assisted Ventilation ◽  
Muscle Oxygenation ◽  
Leg Muscle

Blood flow requirements of the respiratory muscles (RM) increase markedly during exercise in chronic heart failure (CHF). We reasoned that if the RM could subtract a fraction of the limited cardiac output (QT) from the peripheral muscles, RM unloading would improve locomotor muscle perfusion. Nine patients with CHF (left ventricle ejection fraction = 26 ± 7%) undertook constant-work rate tests (70-80% peak) receiving proportional assisted ventilation (PAV) or sham ventilation. Relative changes (Δ%) in deoxy-hemoglobyn, oxi-Hb ([O2Hb]), tissue oxygenation index, and total Hb ([HbTOT], an index of local blood volume) in the vastus lateralis were measured by near infrared spectroscopy. In addition, QT was monitored by impedance cardiography and arterial O2 saturation by pulse oximetry (SpO2). There were significant improvements in exercise tolerance (Tlim) with PAV. Blood lactate, leg effort/Tlim and dyspnea/Tlim were lower with PAV compared with sham ventilation ( P < 0.05). There were no significant effects of RM unloading on systemic O2 delivery as QT and SpO2 at submaximal exercise and at Tlim did not differ between PAV and sham ventilation ( P > 0.05). Unloaded breathing, however, was related to enhanced leg muscle oxygenation and local blood volume compared with sham, i.e., higher Δ[O2Hb]% and Δ[HbTOT]%, respectively ( P < 0.05). We conclude that RM unloading had beneficial effects on the oxygenation status and blood volume of the exercising muscles at similar systemic O2 delivery in patients with advanced CHF. These data suggest that blood flow was redistributed from respiratory to locomotor muscles during unloaded breathing.

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