Functional changes in microcirculation during hyperbaric and normobaric oxygen therapy.

AbSTrACTObjectives: Treatment of cutaneous wounds is one of the many applications of hyperbaric oxygen therapy (HBo). However, the complex regulation of skin microcirculation during different phases of HBo is not completely understood. We therefore investigated skin microcirculation and oxygenation during HBo and normobaric oxygen (nBo) exposure. Methods: Seven healthy volunteers were investigated using measurements of transcutaneous oxygen pressure (P tc o 2 ), tissue spectrophotometry and laser Doppler flowmetry recorded simultaneously in the hand and foot during HBO and NBO in 2- and 4-mm depths. We defined tissue hypoxia as a P tc o 2 below 30 mmHg. results: At the hand, in 2 mm depth, nBo induced a mild vasoconstriction (-37%, p=0.07), but a significant increase in P tc o 2 (+380%, p<0.001). HBO induced a mild vasoconstriction (-45%, p=0.08), significantly increasing P tc o 2 (+1430%, p<0.001). Hand changes in 2 and 4 mm were comparable. Foot changes were smaller than at the hand and more pronounced in 4 mm than in 2 mm depth during nBo and compression. no episodes of tissue hypoxia occurred at any time.