Adv Exp Med Biol
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Mathematical models of the transport of oxygen, glucose, carbon dioxide and lactic acid in the human brain have been developed and solved for both steady-state and dynamic cases which include normal conditions, arterial and venous hypoxia, reduced flow and hematocrit, hypocapnia, reduced glucose and transient arterial upsets. Results indicate that local concentration deficits of oxygen and/or glucose and excesses of lactic acid can exist within the system described by the models and therefore possibly could exist in the tissues of the human brain under similar conditions.
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A new method to estimate arterial oxygen saturation is suggested based on the presence of the plethysmographic pulse. A prototype skin reflectance oximeter system utilizing a miniature solid state optical transducer has been constructed. ⋯ This study has demonstrated for the first time that arterial hemoglobin oxygen saturation can be measured quantitatively using transcutaneous reflectance techniques. However, more extensive work is needed to further develop this technique into a viable clinical tool.