Correlation between Tourniquet Duration and Reactive Hyperemia in the Upper Limb
DOI:
https://doi.org/10.31907/2414-2093.2019.05.03Keywords:
Infrared thermography, microcirculation, postocclusive hyperemia, skin temperature, tourniquet and thermoregulatory changes.Abstract
The physiological reaction of postocclusive local reactive hyperemia is regulated by neurovascular mechanisms and it reflects the function of microcirculation. Thermoregulatory changes occur first, in the form of increased skin surface temperature, which is usually followed by an increase in local blood flow. This study investigated a correlation between tourniquet duration on the upper arm, and the appearance of reactive hyperemia in the distal parts of the upper limb. Changes were registered with infrared thermometer and infrared thermography, which provided us a highly precise view of distribution of reactive hyperemia. Changes of oxygen saturation of peripheral arterial blood and blood pressure were also recorded. Our research has shown that longer duration of tourniquet leads to more intense and longer lasting reactive hyperemia in the palmar region, followed by higher temperatures of the skin surface, without any changes in postocclusive values of SpO2.
References
Kubli S, Waeber B, Dalle-Ave A, Feihl F. Reproducibility of laser Doppler imaging of skin blood flow as a tool to assess endothelial function. J Cardiovasc Pharmacol 2000; 36: 640- 8. https://doi.org/10.1097/00005344-200011000-00014
Newman RJ, Muirhead A. A safe and effective low pressure tourniquet 1986. https://doi.org/10.1097/00006534-198707000-00075
Association of Operating Room Nurses: Recommended practices for use of the pneumatic tourniquet. AORN J 2002; 75: 379-386. https://doi.org/10.1016/S0001-2092(06)61418-X
Wu Y, Nieuwenhoff MD, Huygen FJPM, van der Helm FCT, Niehof S, Schouten AC. Characterizing human skin blood flow regulation in response to different local skin temperature perturbations. Microvascular Research 2017; 111: 96-102. https://doi.org/10.1016/j.mvr.2016.12.007
Sagaidachnyi AA, Usanov DA, Skripal AV, Fomin AV. Correlation of skin temperature and blood flow oscillations. Proc. of SPIE Vol. 8337 83370A-2. Angiology 2012; 10: 873- 880.
Stoner HB, Barker P, Riding GS, Hazlehurst DE, Taylor L, Marcuson RW. Relationships between skin temperature and perfusion in the arm and leg. Clin Physiol 1991; 11(1): 27-40. https://doi.org/10.1111/j.1475-097X.1991.tb00651.x
Johnson JM, Brengelmann GL, Hales JR, Vanhoutte PM, Wenger CB. Regulation of the cutaneous circulation. Fed Proc 1986; 45(13): 2841-50.
Milbrath JR. Thermography. In: Bassett L W, Gold R H (eds) Mamography, Thermography, and Ultrasound in Breast Cancer Detection. Grune&Stratton, Orlando, FL, 1982; pp. 143-149.
Vardasca R. Symmetry of temperature distribution in the upper and lower extremities. Thermol Int 2008; 18: 154-155.
Selfe J, Whitaker J, Hardaker N. A narrative literature review identifying the minimum clinically important difference for skin temperature asymmetry at the knee. Thermol Int 2008; 18: 1- 44.
Garagiola U, Giani E. The use of telethermography in the management of sport injuries. Spo Med 1990; 10: 267-272. https://doi.org/10.2165/00007256-199010040-00005
Hanssler L, Hendricks O, Ranft J, Blank M. Reactive hyperemia after arterial occlusion: comparison of infrared telethermography and laser Doppler flowmetry. Vasa 1995; 24(2): 148-54.
Bornmyr S, Svensson H. Thermography and laser-Doppler flowmetry for monitoring changes in finger skin blood flow upon cigarette smoking. Clin Physiol 1991; 11(2): 135-41. https://doi.org/10.1111/j.1475-097X.1991.tb00106.x
Szentkuti, et al. Infrared thermography and image analysis for biomedical use. Periodicum Biologorum 2011; 113(4): 385-392.
Stathopoulos, Skouroliakou K, Michail C, Valais I. Dynamic Infrared Thermography Study of Blood Flow Relative to Lower Limp Position. Journal of Physics: Conference Series 2015; 637: 012027. https://doi.org/10.1088/1742-6596/637/1/012027
Stikbakke E, Mercer J. An Infrared thermographic and Laser Doppler flowmetric investigation on skin perfusion in theforearm and fingertip following short period of vascular stasis. 2008.
Mollison HL, McKay WP, Patel RH, Kriegler S, Negraeff OE. Reactive hyperemia increases forearm vein area. Can J Anaesth 2006; 53(8): 759-63. https://doi.org/10.1007/BF03022791
Stoner HB, Barker P, Riding GS, Hazlehurst DE, Taylor L, Marcuson RW. Relationships between skin temperature and perfusion in the arm and leg. Clin Physiol 1991; 11(1): 27-4. https://doi.org/10.1111/j.1475-097X.1991.tb00651.x
Rodrigues LM, Contreiras Pinto P, Leal A. Transcutaneous flow related variables measured in vivo: the effects of gender. BMC Dermatology 2001; 1: 4. https://doi.org/10.1186/1471-5945-1-4
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
