Document Detail

Heel blood perfusion responses to pressure loading and unloading in women.
MedLine Citation:
PMID:  9282043     Owner:  NLM     Status:  MEDLINE    
Heel pressure ulcers are significant and costly problems causing suffering and potential limb loss from infection and compromised blood flow. Heel blood perfusion (HBP) deficits accompanying loading likely affect the skin breakdown process, but little is known about the loading and off-loading changes. To clarify this issue, combined laser-Doppler Imaging (LDI) and Fluxmetry were used to assess HBP before, during, and after 40 minutes of continuous heel loading in 11 female volunteers (32-60 years). During loading, an initial decrease in HBP was followed by a gradual small recovery (p < 0.001). Off-loading resulted in a significant hyperemic response with HBP exceeding baseline by a factor of 4.72 +/- 0.63 (p = 0.001) and remaining elevated for about 10 minutes. Spatial LDI data showed that hyperemic responses are maximum near the pressure center and diminish radially. These results suggest a localized, pressure-related tissue trauma, which is compensated for by a substantial hyperperfusion. The dependence (and adequacy) of this response on clinical variables including heel pressure and duration, limb vascular status, and patient health are unknown. The present seminal data and associated methods provide a platform from which these and other important clinical parameters can be systematically studied and compared.
H N Mayrovitz; J Smith; M Delgado; M B Regan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Ostomy/wound management     Volume:  43     ISSN:  0889-5899     ISO Abbreviation:  Ostomy Wound Manage     Publication Date:  1997 Aug 
Date Detail:
Created Date:  1997-09-11     Completed Date:  1997-09-11     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8912029     Medline TA:  Ostomy Wound Manage     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  16-20, 22, 24 passim     Citation Subset:  N; S    
Miami Heart Research Institute, Florida, USA.
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MeSH Terms
Heel / blood supply*,  ultrasonography
Laser-Doppler Flowmetry
Middle Aged
Pilot Projects
Pressure Ulcer / etiology,  physiopathology*
Regional Blood Flow / physiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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