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Assessing Skeletal Muscle Variations in Microvascular Pressure and Unstressed Blood Volume at the Bedside
Author(s) -
De Blasi Roberto Alberto,
Arcioni Roberto
Publication year - 2014
Publication title -
microcirculation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.793
H-Index - 83
eISSN - 1549-8719
pISSN - 1073-9688
DOI - 10.1111/micc.12139
Subject(s) - medicine , plethysmograph , microcirculation , cardiology , blood volume , nuclear medicine
Objective Quantitative NIRS measurements for MBV partitioning inside microvessels are of current physiologic and clinical interest. In this study, in healthy subjects, we sought new bedside NIRS variables for noninvasively measuring V u and P i changes. Methods Fifteen healthy subjects underwent graded venous congestion for MBV measurements with NIRS and the reference technique strain‐gauge plethysmography. From Δ MBV we calculated vascular compliance, blood flow, and new NIRS variables including V u and P it and P crit . Results Extrapolating MBV changes to 0 yielded P it 4.19 ± 0.5 mmHg corresponding to a V u of 2.53 ± 0.43 mL/100 mL T. The slope for MBV began steeper at values below 18 mmHg ( P crit ). Microvascular compliance measured with NIRS or with strain gauge gave matching results. The change in MBV depended on the oxyhemoglobin increase. No correlation was found between V u and microvascular compliance or the overall Δ MBV . Cumulative pressure steps showed higher linearity in Δ MBV than that induced by discontinuous steps. Conclusions The new NIRS variables we report could be a practical bench‐to‐bedside tool to assess venous driving pressure for systemic perfusion and measure changes in V u within the microvascular bed.