Tonometry of Deep Tissues for Setting Effective Compression Pressures in Lymphedema of Limbs.
Identifieur interne : 000071 ( PubMed/Corpus ); précédent : 000070; suivant : 000072Tonometry of Deep Tissues for Setting Effective Compression Pressures in Lymphedema of Limbs.
Auteurs : Marzanna T. Zaleska ; Waldemar L. Olszewski ; Marek Durlik ; Mariusz K. Kaczmarek ; Bob FreidenrichSource :
- Lymphatic research and biology [ 1557-8585 ] ; 2017.
Abstract
The therapeutic intermittent pneumatic compression (IPC) pressures are usually set arbitrarily at levels between 40 and 60 mmHg. However, it is not known how much force has been transferred to edema fluid. There is a need to know how high edema fluid pressures should be generated to evacuate the stagnant fluid. The externally applied compression force dissipates in hard tissues and only a portion of it is conveyed to tissue fluid. Simultaneous measuring of compression force using deep tissue tonometry and recording edema fluid pressures under a tonometer would give hints of how high should therapist or patient set IPC pressures to mobilize fluid.
DOI: 10.1089/lrb.2016.0069
PubMed: 28759315
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Tonometry of Deep Tissues for Setting Effective Compression Pressures in Lymphedema of Limbs.</title><author><name sortKey="Zaleska, Marzanna T" sort="Zaleska, Marzanna T" uniqKey="Zaleska M" first="Marzanna T" last="Zaleska">Marzanna T. Zaleska</name><affiliation><nlm:affiliation>1 Department of Applied Physiology, Mossakowski Medical Research Center , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L" last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Durlik, Marek" sort="Durlik, Marek" uniqKey="Durlik M" first="Marek" last="Durlik">Marek Durlik</name><affiliation><nlm:affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Kaczmarek, Mariusz K" sort="Kaczmarek, Mariusz K" uniqKey="Kaczmarek M" first="Mariusz K" last="Kaczmarek">Mariusz K. Kaczmarek</name><affiliation><nlm:affiliation>4 Kazimierz Wielki University , Bydgoszcz, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Freidenrich, Bob" sort="Freidenrich, Bob" uniqKey="Freidenrich B" first="Bob" last="Freidenrich">Bob Freidenrich</name><affiliation><nlm:affiliation>5 Lehigh University , Bethlehem, Pennsylvania.</nlm:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28759315</idno><idno type="pmid">28759315</idno><idno type="doi">10.1089/lrb.2016.0069</idno><idno type="wicri:Area/PubMed/Corpus">000071</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000071</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Tonometry of Deep Tissues for Setting Effective Compression Pressures in Lymphedema of Limbs.</title><author><name sortKey="Zaleska, Marzanna T" sort="Zaleska, Marzanna T" uniqKey="Zaleska M" first="Marzanna T" last="Zaleska">Marzanna T. Zaleska</name><affiliation><nlm:affiliation>1 Department of Applied Physiology, Mossakowski Medical Research Center , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Olszewski, Waldemar L" sort="Olszewski, Waldemar L" uniqKey="Olszewski W" first="Waldemar L" last="Olszewski">Waldemar L. Olszewski</name><affiliation><nlm:affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Durlik, Marek" sort="Durlik, Marek" uniqKey="Durlik M" first="Marek" last="Durlik">Marek Durlik</name><affiliation><nlm:affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Kaczmarek, Mariusz K" sort="Kaczmarek, Mariusz K" uniqKey="Kaczmarek M" first="Mariusz K" last="Kaczmarek">Mariusz K. Kaczmarek</name><affiliation><nlm:affiliation>4 Kazimierz Wielki University , Bydgoszcz, Poland .</nlm:affiliation></affiliation></author><author><name sortKey="Freidenrich, Bob" sort="Freidenrich, Bob" uniqKey="Freidenrich B" first="Bob" last="Freidenrich">Bob Freidenrich</name><affiliation><nlm:affiliation>5 Lehigh University , Bethlehem, Pennsylvania.</nlm:affiliation></affiliation></author></analytic><series><title level="j">Lymphatic research and biology</title><idno type="eISSN">1557-8585</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The therapeutic intermittent pneumatic compression (IPC) pressures are usually set arbitrarily at levels between 40 and 60 mmHg. However, it is not known how much force has been transferred to edema fluid. There is a need to know how high edema fluid pressures should be generated to evacuate the stagnant fluid. The externally applied compression force dissipates in hard tissues and only a portion of it is conveyed to tissue fluid. Simultaneous measuring of compression force using deep tissue tonometry and recording edema fluid pressures under a tonometer would give hints of how high should therapist or patient set IPC pressures to mobilize fluid.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">28759315</PMID><DateCreated><Year>2017</Year><Month>07</Month><Day>31</Day></DateCreated><DateRevised><Year>2017</Year><Month>07</Month><Day>31</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1557-8585</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2017</Year><Month>Jul</Month><Day>31</Day></PubDate></JournalIssue><Title>Lymphatic research and biology</Title><ISOAbbreviation>Lymphat Res Biol</ISOAbbreviation></Journal><ArticleTitle>Tonometry of Deep Tissues for Setting Effective Compression Pressures in Lymphedema of Limbs.</ArticleTitle><ELocationID EIdType="doi" ValidYN="Y">10.1089/lrb.2016.0069</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">The therapeutic intermittent pneumatic compression (IPC) pressures are usually set arbitrarily at levels between 40 and 60 mmHg. However, it is not known how much force has been transferred to edema fluid. There is a need to know how high edema fluid pressures should be generated to evacuate the stagnant fluid. The externally applied compression force dissipates in hard tissues and only a portion of it is conveyed to tissue fluid. Simultaneous measuring of compression force using deep tissue tonometry and recording edema fluid pressures under a tonometer would give hints of how high should therapist or patient set IPC pressures to mobilize fluid.</AbstractText><AbstractText Label="AIM" NlmCategory="OBJECTIVE">(1) To simultaneously measure the applied tonometer force and the generated edema fluid pressures under the tonometer, (2) to plot tonometer force against fluid pressure data to create a correlation curve for setting pressure of IPC at levels initiating fluid flow, (3) to work out a formula for setting pressures in the pneumatic device for individual patient, based on tonometry, (4) to prove the value of formula on a cohort of patients treated with IPC.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Deep tissue tonometry force and tissue fluid pressures under the tonometer indentor were measured in lower limbs in a group of 20 patients with lymphedema stages I-III.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">(1) Deep tissue tonometry penetrating to a depth of 10 mm provided data on pressure generated in tissue fluid under the tonometer indentor. (2) Plotting the applied tonometer force against the tonometer-generated tissue fluid pressures revealed that force to reach the threshold of 30 mmHg fluid pressure necessary for initiation of flow should be >1000 g/sq. cm. (3) A formula, based on tonometry values, for setting ICP pressures at levels generating pressures for initiating edema fluid flow was worked out. (4) Usefulness of the formula for setting IPC at effective levels was proved on a cohort of patients.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Deep tissue tonometry of limbs is useful for setting IPC devices at compression pressures for mobilizing edema fluid.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Zaleska</LastName><ForeName>Marzanna T</ForeName><Initials>MT</Initials><AffiliationInfo><Affiliation>1 Department of Applied Physiology, Mossakowski Medical Research Center , Warsaw, Poland .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Olszewski</LastName><ForeName>Waldemar L</ForeName><Initials>WL</Initials><AffiliationInfo><Affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Durlik</LastName><ForeName>Marek</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>2 Department of Vascular Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>3 Department of Gastrointestinal and Transplantation Surgery, Central Clinical Hospital, Ministry of Home Affairs , Warsaw, Poland .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaczmarek</LastName><ForeName>Mariusz K</ForeName><Initials>MK</Initials><AffiliationInfo><Affiliation>4 Kazimierz Wielki University , Bydgoszcz, Poland .</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Freidenrich</LastName><ForeName>Bob</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>5 Lehigh University , Bethlehem, Pennsylvania.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2017</Year><Month>07</Month><Day>31</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Lymphat Res Biol</MedlineTA><NlmUniqueID>101163587</NlmUniqueID><ISSNLinking>1539-6851</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">intermittent pneumatic compression</Keyword><Keyword MajorTopicYN="N">lymph</Keyword><Keyword MajorTopicYN="N">lymphedema</Keyword><Keyword MajorTopicYN="N">tissue fluid</Keyword><Keyword MajorTopicYN="N">tonometry</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>8</Month><Day>1</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>8</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28759315</ArticleId><ArticleId IdType="doi">10.1089/lrb.2016.0069</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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