Acute skin trauma induces hyperemia, but superficial papillary nutritive perfusion remains unchangedShow others and affiliations
2017 (English)In: Microcirculation, ISSN 1073-9688, E-ISSN 1549-8719, Vol. 24, no 7, article id e12389Article in journal (Refereed) Published
Abstract [en]
Objectives: Superficial skin papillary capillaries with blood supply from a superficial vascular plexus and regulated by local metabolic needs supply oxygen and nutrients for epithelial cell proliferation. A deep vascular plexus regulated by autonomous nerves serves body thermoregulation. In healthy volunteers, we assessed circulatory effects of a standardized skin trauma by CAVM, DRS, and LDPM to assess the measuring depth of the three techniques and to describe the acute trauma effects on nutritive and thermoregulatory perfusion. Methods: Volunteers (n=12) were examined at baseline and after induction of a 5.0 mmx1.0 mm incision on the forearm; 30 minutes after the trauma induction, data were collected at 0-1, 2-3 and 30 mm distances. Results: LDPM showed hyperemia at 2-3 mm distance (35.8 +/- 15.2 a.u.), but not at 30 mm distance (7.4 +/- 2.5 a.u.) compared to baseline (8.8 +/- 1.8 a.u.). The DRS saturation increased at 2-3 mm (71.2 +/- 4.8%), but not at 30 mm (49.8 +/- 7.9%) compared to baseline (45.8 +/- 7.4%). Capillary density and flow velocities were unaffected at all distances. Conclusions: The results indicate that skin nutritive papillary capillary function can be assessed by CAVM and DRS, but not with LDPM because of its dependence of the deep plexus perfusion.
Place, publisher, year, edition, pages
WILEY , 2017. Vol. 24, no 7, article id e12389
Keywords [en]
computer assisted video microscopy; diffuse reflectance spectroscopy; laser Doppler perfusion measurements; microcirculation; skin trauma responses
National Category
Physiology and Anatomy
Identifiers
URN: urn:nbn:se:liu:diva-142161DOI: 10.1111/micc.12389ISI: 000412526700008PubMedID: 28632939OAI: oai:DiVA.org:liu-142161DiVA, id: diva2:1151570
2017-10-232017-10-232025-02-10