Measurements in Burns

McKinnell, T.H.; Pape, Sarah

doi:10.1007/978-1-4471-2987-5_14

Cited by 1 publication

(2 citation statements)

References 149 publications

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“…10,11 LDI imaging also offers an accurate means of estimating dermal depth damage in burn wounds compared to both clinical judgement and histology; this is a very valuable application though not discussed in this report. 12 Lee Yong used a LDF and a narrow cuff to measure SPP with an aim to study its association with endovascular therapy to treat PAD. 10 The LDF was positioned on digits, towards the inner or outer aspects of the foot to record flow from the digital, dorsal or pedal arteries, respectively.…”

Section: Skin Perfusion Pressure (Spp)mentioning

confidence: 99%

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Oxygen Saturation or Tissue Oxygen Determinations on Skin Whose Viability is at Risk

Richardson,

Mani

2023

The International Journal of Lower Extremity Wounds

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The triad of ischaemia, neuropathy, and infection are among the principal causes of lower extremity wounds that are commonly prevalent in patients with diabetic foot (DF) a condition in which peripheral arterial disease commonly co-exists. The prevalence of this condition is increasing globally and with it, the mounting costs of its management. One aspect of management is saving limbs and or digits, a crucial part of this process is assessing tissue viability of skin which is a focus of this review: there are other aspects which are well described in the literature. Amputations are offered to limit the damage resulting from acute/chronic ischaemia. Holstein measured skin perfusion pressure using a radioisotope clearance technique to describe critically ischaemic skin; he found 30 mm Hg as the threshold above which healing may reliably be expected. Recent advances in vascular surgery and related technology have informed evidence-based advice to revascularize and save limbs; in practice, this may leave a wound in the distal skin unhealed; managing these raises questions of tissue viability. Much effort has been made to manage, prevent and to better understand these lower extremity wounds using measurements of tissue oxygen, oxygen saturation and skin imaging. The measurement techniques and their relevant merits are examined in this article. Advances in wound management systems and protocols can also facilitate the repair processes, and those which can have a particular impact on restoring or maintaining tissue perfusion are also discussed in the article.

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