Document Detail


Supplemental oxygen and dependent positioning as adjunctive measures to improve forefoot tissue oxygenation.
MedLine Citation:
PMID:  3178469     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Fifty-seven patients with resting pain or tissue necrosis were found to have a forefoot transcutaneous tissue oxygen (tcPO2) level less than 30 mm Hg. The adjunctive measures of foot dependency (36 cm below heart level) and nasal oxygen of 3 L/min were evaluated in these patients. In general, the improvement in tcPO2 levels with these adjunctive measures was not related to basal levels of forefoot or arm tcPO2. One can expect an increase in tcPO2 level of approximately 22 mm Hg while employing the dependent position and an additional benefit of 12 mm Hg with the administration of nasal oxygen. Of the 35 patients with a basal forefoot tcPO2 level of less than 10 mm Hg, 11 did not respond to these adjunctive measures.
Authors:
W C Johnson; H I Grant; D Baldwin; J V Hamilton; J M Dion
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  123     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1988 Oct 
Date Detail:
Created Date:  1988-11-07     Completed Date:  1988-11-07     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1227-30     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Boston Veterans Administration Medical Center, MA 02130.
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MeSH Terms
Descriptor/Qualifier:
Aged
Foot / anatomy & histology,  blood supply*,  metabolism
Humans
Ischemia / metabolism*,  therapy
Male
Necrosis
Oxygen Consumption*
Oxygen Inhalation Therapy*
Pain
Posture

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


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