Possibilities for evaluating regional transcutaneous gas exchange in critical medicine. Message 2

K.A. Levshankov1, A.I. Levshankov 2

1 St. Helens Hospital, Liverpool, United Kingdom

2 Military Medical Academy, St. Petersburg, Russia

For correspondence: Levshankov Anatoly Ilich — DMS, Professor in the Department of Anaesthesiology and Reanimatology; e-mail: anlev@inbox.ru

For citation: Levshankov KA, Levshankov AI. Possibilities for evaluating regional transcutaneous gas exchange in critical medicine. Message 2. Alexander Saltanov Intensive Care Herald. 2018;3:30–8.

DOI: 10.21320/1818-474X-2018-3-30-38


This article presents changes in regional transcutaneous gas exchange (RTCGE) in chronic and acute severe circulatory disorders in the lower extremities in patients before, during anaesthesia and surgery, and in the immediate postoperative period. In 36 healthy and 146 patients with obliterating atherosclerosis of the vessels of the lower limbs (OAVLL) in different stages of before, during anaesthesia and surgery and in the immediate postoperative period, more than 600 studies of RTCGE were performed using the MX-6203 mass spectrometer and small containers developed with our participation. The following were determined: 1) the dependence of RTCGE on body part and age, OAVLL stage, the degree of acute circulatory disturbance in the limb and the effectiveness of surgical correction; 2) the effect of general, epidural anesthesia and analgesia on RTCGE, the patientʼs condition and peripheral circulation); 3) changes in RTCGE after sympathectomy and aorto-bifemoral bypass.

Keywords: regional transcutaneous gas exchange, mass spectrometry, small-sized containers, obliterating atherosclerosis of the vessels of the lower limbs, general anaesthesia and analgesia; before, during and after surgery

Received: 04.04.2018


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