The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit
Background The aim of this study was to collect important data on the time of oxygensaturation change in relation to skin flap color alteration using non-invasive pulse oximetryto evaluate its ability to provide continuous monitoring of skin flap perfusion.Methods An experimental study on the monito...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Thieme Medical Publishers, Inc.
2013-09-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-505.pdf |
| _version_ | 1811305873247567872 |
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| author | Theddeus O. H. Prasetyono Senja Adianto |
| author_facet | Theddeus O. H. Prasetyono Senja Adianto |
| author_sort | Theddeus O. H. Prasetyono |
| collection | DOAJ |
| description | Background The aim of this study was to collect important data on the time of oxygensaturation change in relation to skin flap color alteration using non-invasive pulse oximetryto evaluate its ability to provide continuous monitoring of skin flap perfusion.Methods An experimental study on the monitoring of blood perfusion of 20 tube-islandgroin flaps of 10 male New Zealand rabbits was performed using pulse oximetry. The animalswere randomly assigned to one of two groups representing a blockage of either arterial orvenous blood flow. The oxygen saturation change and clinical color alteration were monitoredfrom the beginning of vessel clamping until the saturation became undetectable. The resultwas analyzed by the t-test using SSPS ver. 10.0.Results The mean times from the vessel clamping until the saturation became undetectablewere 20.19±2.13 seconds and 74.91±10.57 seconds for the artery and vein clamping groups,respectively. The mean time of the clinical alteration from the beginning of vein clampingwas 34.5±11.72 minutes, while the alteration in flaps with artery clamping could not bedetected until 2.5 hours after clamping.Conclusions The use of neonate-type reusable flex sensor-pulse oximetry is objective andeffective in early detection of arterial and vein blockage. It provides real-time data on vesselocclusion, which in turn will allow for early salvaging. The detection periods of both arterialocclusion and venous congestion are much earlier than the color alteration one may encounterclinically. |
| first_indexed | 2024-04-13T08:33:08Z |
| format | Article |
| id | doaj.art-39199bf1bb56478ab5d0baf0453d034f |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-13T08:33:08Z |
| publishDate | 2013-09-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-39199bf1bb56478ab5d0baf0453d034f2022-12-22T02:54:10ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712013-09-01405505509The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the RabbitTheddeus O. H. PrasetyonoSenja AdiantoBackground The aim of this study was to collect important data on the time of oxygensaturation change in relation to skin flap color alteration using non-invasive pulse oximetryto evaluate its ability to provide continuous monitoring of skin flap perfusion.Methods An experimental study on the monitoring of blood perfusion of 20 tube-islandgroin flaps of 10 male New Zealand rabbits was performed using pulse oximetry. The animalswere randomly assigned to one of two groups representing a blockage of either arterial orvenous blood flow. The oxygen saturation change and clinical color alteration were monitoredfrom the beginning of vessel clamping until the saturation became undetectable. The resultwas analyzed by the t-test using SSPS ver. 10.0.Results The mean times from the vessel clamping until the saturation became undetectablewere 20.19±2.13 seconds and 74.91±10.57 seconds for the artery and vein clamping groups,respectively. The mean time of the clinical alteration from the beginning of vein clampingwas 34.5±11.72 minutes, while the alteration in flaps with artery clamping could not bedetected until 2.5 hours after clamping.Conclusions The use of neonate-type reusable flex sensor-pulse oximetry is objective andeffective in early detection of arterial and vein blockage. It provides real-time data on vesselocclusion, which in turn will allow for early salvaging. The detection periods of both arterialocclusion and venous congestion are much earlier than the color alteration one may encounterclinically.http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-505.pdfFree tissue flaps / Oxygen consumption / Oximetry |
| spellingShingle | Theddeus O. H. Prasetyono Senja Adianto The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit Archives of Plastic Surgery Free tissue flaps / Oxygen consumption / Oximetry |
| title | The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit |
| title_full | The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit |
| title_fullStr | The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit |
| title_full_unstemmed | The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit |
| title_short | The Relationship between Oxygen Saturation and Color Alteration of a Compromised Skin Flap: Experimental Study on the Rabbit |
| title_sort | relationship between oxygen saturation and color alteration of a compromised skin flap experimental study on the rabbit |
| topic | Free tissue flaps / Oxygen consumption / Oximetry |
| url | http://www.e-aps.org/Synapse/Data/PDFData/2023APS/aps-40-505.pdf |
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