Vnitr Lek 2015, 61(2):106-113

The importance of transcutaneous oxygen tension monitoring in diabetic patient with complications

Dávid Baláž*, Andrea Komorníková, Peter Sabaka, Ľudovít Gašpar, Andrej Dukát
II. interná klinika LF UK a UN Bratislava, Slovenská republika, prednosta doc. MUDr. Ľudovít Gašpar, CSc.

Monitoring of transcutaneous perfusion pressure of tissue oxygen (tcpO2) is a simple, non-invasive method performed in diagnostic process of chronic diabetic complications. Primary, tcpO2 is used as an indicator of microcirculatory function. Properly placed and fixed Clark electrode is able to detect with high accuracy partial oxygen pressure on the skin surface by polarographic system of dissolved oxygen from capillary bed through tissues to upper layers of the skin. The microcirculation function is influenced by macrocirculation, thus, tcpO2 is a suitable parameter in diagnosis of peripheral arterial obliterative disease or other vascular pathologies. Combination of tcpO2 monitoring and skin perfusion pressure by laser Doppler technique gives us information not only about nutritive capillary flow, but also about vessels which precede capillary bed. The article discusses current guidelines for measurement of tcpO2 and evaluation of the results. Also reviews the results of recent studies which are interested in the use of tcpO2 in diabetic patients.

Keywords: diabetic foot ulcer; diabetic microangiopathy; diabetic neuropathy; peripheral arterial obliterative disease; transcutaneous oxygen tension monitoring

Received: September 22, 2014; Accepted: November 11, 2014; Published: February 1, 2015  Show citation

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Baláž D, Komorníková A, Sabaka P, Gašpar Ľ, Dukát A. The importance of transcutaneous oxygen tension monitoring in diabetic patient with complications. Vnitr Lek. 2015;61(2):106-113.
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