title: Variability of Transcutaneous Oxygen and Carbon Dioxide Pressure Measurements Associated with Sensor Location.
abstract: Transcutaneous measurement of oxygen and carbon dioxide pressure (PtcO2 and PtcCO2) is useful in gas exchange monitoring. However, the relationship between PtcO2, pulse oximetry (SaO2) and arterial blood gases (ABG) is unclear. The aim of the present study was to compare PtcO2 and PtcCO2 with SaO2 and ABG, to evaluate the effect of sensor location on the results and stability of PtcO2 and PtcCO2, and to assess the impact of body composition on PtcO2 and PtcCO2. PtcO2 and PtcCO2 were measured in 20 healthy volunteers at three locations: right second intercostal space, lateral surface of the abdomen, and the inner surface of the left arm. The results were recorded 10, 15, and 20 min after sensor fixation and compared with SaO2 and ABG measured 20 min after electrode placement on the chest. Body composition was evaluated by bioimpedance. The findings were that PtcO2 was stable on the chest; but on the arm and abdomen it increased and reached maximum at 20 min. Transcutaneous PCO2 stabilized at 10 min in all the three locations. No significant correlations between PtcO2 and SaO2 or PaO2 were found. Transcutaneous PCO2 correlated with PaCO2. Both PtcO2 and PtcCO2 were not influenced by body composition. We conclude that the value of PtcO2 in monitoring of blood oxygenation was not unequivocally confirmed; PtcCO2 reliably reflects PaCO2, irrespective of sensor location. Body composition does not affect PtcO2 and PtcCO2.
authors.affiliation: Department of Internal Medicine, Pneumology and Allergology, Medical University of Warsaw, 1a Banacha St., Warsaw, Poland, drkpgorska@gmail.com.
authors.forename: K
authors.initials: K
authors.lastname: Górska
authors.forename: P
authors.initials: P
authors.lastname: Korczyński
authors.forename: M
authors.initials: M
authors.lastname: Maskey-Warzęchowska
authors.forename: R
authors.initials: R
authors.lastname: Chazan
authors.forename: R
authors.initials: R
authors.lastname: Krenke
mesh_terms: D000005:Abdomen; D000328:Adult; D001132:Arm; D001785:Blood Gas Monitoring, Transcutaneous / Q000295:instrumentation / Q000592:standards*; D001823:Body Composition / Q000502:physiology; D002245:Carbon Dioxide / Q000097:blood*; D017097:Electric Impedance; D004566:Electrodes; D005260:Female; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000295:instrumentation / Q000592:standards*; D010100:Oxygen / Q000097:blood*; D013909:Thorax
chemical_list: D002245:Carbon Dioxide; D010100:Oxygen