Transcutaneous and End-Tidal CO2 Measurements in Hypoxia and Hyperoxia

2021 ◽  
Vol 92 (11) ◽  
pp. 864-872
Author(s):  
Barbara E. Shykoff ◽  
Lesley R. Lee ◽  
Megan Gallo ◽  
Cheryl A. Griswold
Keyword(s):  
Partial Pressure ◽  
Skin Temperature ◽  
Explanatory Variable ◽  
Clinical Settings ◽  
Local Skin ◽  
Heating And Cooling ◽  
Local Skin Temperature ◽  
End Tidal ◽  
End Tidal Co2 ◽  
Rest And Exercise

BACKGROUND: Transcutaneous measurement of carbon dioxide (CO2) has been proposed for physiological monitoring of tactical jet aircrew because in some clinical settings it mirrors arterial CO2 partial pressure (Paco2). End-tidal monitoring in laboratory settings is known to give high-fidelity estimates of Paco2.METHODS: The correspondence between end-tidal (PETco2) and transcutaneous Pco2 (tcPco2) was examined in healthy volunteers under laboratory conditions of hyperoxia and hypoxia. Rest and exercise, skin heating and cooling, hyperventilation, and induced CO2 retention were employed.RESULTS: Neither measure followed all known changes in Paco2 and tcPco2 changed when the skin temperature near the probe changed. Bland-Altman analysis showed significant nonzero slopes under most conditions. Regression analysis indicated that oxygen partial pressure (Po2) in tissue measured as transcutaneous Po2 (tcPo2) is an important explanatory variable for tcPco2 in addition to PETco2, and that local skin temperature also has an effect. Additionally, absorption atelectasis from breathing 100% O2 may cause PETco2 to deviate from Paco2.DISCUSSION: Even as a trend indicator for Paco2, tcPco2 is not useful under conditions that resemble those in the highly dynamic tactical jet aircraft environment. PETco2 is also not a good indicator of CO2 status in pilots who breathe nearly 100% O2.Shykoff BE, Lee LR, Gallo M, Griswold CA. Transcutaneous and end-tidal CO2 measurements in hypoxia and hyperoxia. Aerosp Med Hum Perform. 2021; 92(11):864-872.

Relation of local skin temperature and local sweating to cutaneous blood flow

1963 ◽  
Vol 18 (4) ◽  
pp. 781-785 ◽  
Author(s):  
Leo C. Senay ◽  
Leon D. Prokop ◽  
Leslie Cronau ◽  
Alrick B. Hertzman
Keyword(s):  
Blood Flow ◽  
Skin Temperature ◽  
Sweat Gland ◽  
Cutaneous Blood Flow ◽  
Local Skin ◽  
Cutaneous Vasodilatation ◽  
Local Skin Temperature ◽  
Relationship Of ◽  
The Relationship ◽  
Cutaneous Blood

The relationship of local skin temperature and the onset of sweating to the local cutaneous blood flow was studied in the forearm and calf. The purpose of the investigation was to appraise the possible relation of sweat gland activity to the cutaneous vasodilatation which has been attributed to bradykinin or to intracranial temperatures. The onset of sweating was not marked by any apparently related increases in the rate of cutaneous blood flow. On the contrary, the onset of sweating was followed often by a stabilization or even a decrease in the level of cutaneous blood flow. The relations of the latter to the local skin temperature were complex, particularly in the forearm. There appeared to be additional unidentified influences, possibly vasomotor, operating on the skin vessels during transitional phases in the relation of skin temperature to blood flow. Submitted on October 15, 1962

The effect of environmental temperature on the growth of vertebrae in the tail of the mouse

Development ◽  
1970 ◽  
Vol 24 (2) ◽  
pp. 405-410
Author(s):  
Janet F. Noel ◽  
E. A. Wright
Keyword(s):  
Skin Temperature ◽  
Environmental Temperature ◽  
Tissue Temperature ◽  
Local Skin ◽  
Temperature Growth ◽  
Peripheral Organs ◽  
Hot Environment ◽  
Caudal Vertebrae ◽  
Local Skin Temperature ◽  
C3h Mice

C3H mice were bred at 30°C and 22°C. At 28 days of age the lengths of the sacral and caudal vertebrae were measured from radiographs and related to the local skin temperature. Growth of the sacral and proximal caudal vertebrae was slightly retarded in the hot environment, but the distal caudal vertebrae showed increased growth which could be quantitatively related to an increase in skin temperature. This suggests that in hot climates the increased growth of peripheral organs of some mammals is due to local increases in tissue temperature.

scholarly journals Effect of local skin blood flow during light and medium activities on local skin temperature predictions

2019 ◽  
Vol 84 ◽  
pp. 439-450
Author(s):  
Stephanie Veselá ◽  
Boris R.M. Kingma ◽  
Arjan J.H. Frijns ◽  
Wouter D. van Marken Lichtenbelt
Keyword(s):  
Blood Flow ◽  
Skin Temperature ◽  
Skin Blood Flow ◽  
Local Skin ◽  
Local Skin Temperature

Diaphragm electrical activity during negative lower torso pressure in quadriplegic men

1981 ◽  
Vol 51 (3) ◽  
pp. 654-659 ◽  
Author(s):  
R. B. Banzett ◽  
G. F. Inbar ◽  
R. Brown ◽  
M. Goldman ◽  
A. Rossier ◽  
...  
Keyword(s):  
Partial Pressure ◽  
Tidal Volume ◽  
Respiratory System ◽  
Afferent Pathways ◽  
Co2 Partial Pressure ◽  
Inspiratory Muscles ◽  
Spinal Lesions ◽  
Diaphragm Electrical Activity ◽  
End Tidal ◽  
End Tidal Co2

We recorded the diaphragm electromyogram (EMG) of quadriplegic men before and during exposure of the lower torso to continuous negative pressure, which caused shortening of the inspiratory muscles by expanding the respiratory system by one tidal volume. The moving-time-averaged diaphragm EMG was larger during expansion of the respiratory system. When we repeated the experiment with subjects who breathed through a mouthpiece, we found qualitatively similar EMG changes and little or no change in tidal volume or end-tidal CO2 partial pressure. When the pressure was applied or removed rapidly, changes in EMG occurred within one or two breaths. Because end-tidal CO2 partial pressure did not increase, and because the response was rapid, we suggest that the response results from proprioceptive, rather than chemoreceptive, reflexes. As most of these men had complete spinal lesions at C6 or C7 the afferent pathways are likely to be vagal or phrenic.

The Effect of Pressure on Skin Temperature Measurements for a Disk Sensor

1979 ◽  
Vol 101 (4) ◽  
pp. 261-266 ◽  
Author(s):  
S. D. Mahanty ◽  
R. B. Roemer
Keyword(s):  
Skin Temperature ◽  
Human Subjects ◽  
Reactive Hyperemia ◽  
Circular Disk ◽  
Temperature Measurements ◽  
Whole Body ◽  
Local Pressure ◽  
Local Skin ◽  
Local Skin Temperature ◽  
Skin Temperatures

In order to determine the effect of application pressure on the accuracy of skin temperature measurements for area contact sensors, low values of pressure (2-20 mm Hg) were applied to the mid-thigh and to the lateral aspect of the trochanter of human subjects using a thin, circular disk with a thermistor mounted in the base. From measurements of the local skin temperatures, it was determined that a pressure of 2 mm Hg is adequate to measure the skin temperature accurately. Applying larger pressure results in higher local skin temperatures with the thighs showing larger temperature increases than the trochanters. The results of a finite difference analysis indicate that the increases in skin temperature at higher pressures can be accounted for by the physical phenomena associated with the penetration of the sensor into the tissue. After the release of pressure, the local skin temperature immediately decreased for all subjects indicating little or no reactive hyperemia was occurring. A method of compensating for the changes in local skin temperature which are due to whole body transient thermal effects was also developed. Use of this method allows the effects of the local pressure application to be separated from the transient environmental effects.

METABOREFLEX CHANGES RELATIONSHIP BETWEEN END-TIDAL CO2 PARTIAL PRESSURE AND VENTILATION

2003 ◽  
Vol 35 (Supplement 1) ◽  
pp. S229
Author(s):  
N Hayashi ◽  
T Miyamoto ◽  
Y Fukuba ◽  
T Yoshida
Keyword(s):  
Partial Pressure ◽  
Co2 Partial Pressure ◽  
End Tidal ◽  
End Tidal Co2

Changes in local skin temperature after the application of a pulsed Nd:YAG laser to healthy subjects: a prospective crossover controlled trial

2019 ◽  
Vol 34 (8) ◽  
pp. 1681-1688
Author(s):  
Mohamed Salaheldien Alayat ◽  
Ahmed Mohamed Elsodany ◽  
Abdulrahman Fuad Miyajan ◽  
Abdulrhman Ali Alzhrani ◽  
Hussam Mohammed Saeed Alzhrani ◽  
...  
Keyword(s):  
Skin Temperature ◽  
Nd:Yag Laser ◽  
Healthy Subjects ◽  
Controlled Trial ◽  
Local Skin ◽  
Pulsed Nd:Yag Laser ◽  
Local Skin Temperature

scholarly journals The influence of local skin temperature on the sweat glands maximum ion reabsorption rate

2019 ◽  
Vol 119 (3) ◽  
pp. 685-695 ◽  
Author(s):  
N. Gerrett ◽  
T. Amano ◽  
G. Havenith ◽  
Y. Inoue ◽  
Narihiko Kondo
Keyword(s):  
Skin Temperature ◽  
Sweat Glands ◽  
Local Skin ◽  
Local Skin Temperature ◽  
Reabsorption Rate

Effect of quiet sleep on resting and CO2-stimulated breathing in humans

1981 ◽  
Vol 50 (4) ◽  
pp. 724-730 ◽  
Author(s):  
B. Gothe ◽  
M. D. Altose ◽  
M. D. Goldman ◽  
N. S. Cherniack
Keyword(s):  
Partial Pressure ◽  
Tidal Volume ◽  
Quiet Sleep ◽  
Rib Cage ◽  
Co2 Partial Pressure ◽  
Ventilatory Responses ◽  
Quantitative Measurements ◽  
End Tidal ◽  
End Tidal Co2 ◽  
Different Levels

We examined the effects of different levels of inspired CO2 on ventilation and the pattern of breathing in healthy adults during the awake and the stage II quiet-sleep states. During both states, subjects were studied supine with their heads enclosed in a canopy. Tidal volume (VT) was determined from quantitative measurements of abdominal and rib cage excursions with magnetometers. Inspired CO2 was raised by blending CO2-enriched gas into the airflow, which continuously flushed the canopy. During sleep, while room air was breathed, VT decreased significantly from 410 to 360 ml, and respiratory rate also fell from 17 to 16 breaths/min. As a consequence, ventilation was significantly reduced from 6.5 to 5.8 l/min, and end-tidal CO2 partial pressure (PCO2) rose from 39.1 to 42.5 Torr. Ventilatory responses to CO2 were reduced, on the average, during sleep to 79% of waking levels. The change in average inspiratory flow produced by CO2 was also less during sleep. Waking and sleeping ventilatory responses to CO2 correlated inversely with the rise in end-tidal PCO2 when room air was breathed during sleep. At all levels of VT, the rib cage contribution to VT was greater during quiet sleep than during wakefulness. These findings suggest that quiet sleep, in addition to depressing ventilation and the response to CO2 alters the manner in which VT is attained by rib cage and abdominal displacements.

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