3.Changes in Tissue Partial Pressure of Oxygen and Carbondioxide in CO2 Vapour Bath
Tomoji KOHMOTO ; Yoshiaki KOMOTO
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1982;46(2):76-83
Subcutaneous and muscular (cranial tibial) tissue PO2 and PCO2 in CO2 vapour bath were measured on rabbit by means of Medical Mass Spectrometry, MEDSPECT II, Chemetron, U. S. A.
Subcutaneous PO2 increased by 30% during CO2 vapour bath of 5L/min at 37°C and muscular PO2 increased by 50% after CO2 vapour bath, keeping the level at least for 2 hours.
Ideal elevation of PO2 level was observed in vapour bath of 1L/min at 37°C for 30min.
A number of factors causing an elevation of PO2 in tissue by topically applied CO2 are to be thought, such as a vasodilating effect, pH-lowering, shift to right of oxygen dissociation curve and so on.
It is assumed that the PO2 elevation together with an improved tissue perfusion could ameliorate complains of patients suffering from degenerative pathology and peripheral arterial insufficiency by stimulating patients' own potential curability.
4.Basic Conditions for CO2 Vapour Bath
Tomoji KOHMOTO ; Yoshiaki KOMOTO
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1983;46(3-4):138-142
Tissue partial pressure of O2 (PO2) and CO2 (PCO2) in CO2 vapour bath were measured on rabbit by means of Medical Mass Spectrometry, MEDSPECT II, Chemetron, U. S. A.
Topical absorption of CO2 through the skin exposed to CO2 gas was confirmed by comparing the subcutaneous tissue PO2 and PCO2 in CO2 vapour bath with those of CO2 free head area; subcutaneous tissue PO2 and PCO2 were elevated by 92% and 48% respectively in the former, whereas subcutaneous tissue PO2 and PCO2 in the latter were found no change. Lowering of subcutaneous pH was found simultaneously with the elevation of PCO2 in CO2 vapour bath, contributing largely to the elevation of PO2 in response to CO2 accumulation.
Subcutaneous tissue PCO2 reaches a saturated level in about 30 minutes regardless of each CO2 flow rate varying from 1 to 5 liters per minute. Too much application of CO2 gas is not always so effective as expected. Changes of PCO2 and PO2 were not in proportion to a rise in temperature from 33.4°C to 41.5°C on the same rabbit. It is, therefore, suggested that the optimal application of CO2 gas on rabbits is at their indifferent temperature of around 37°C.
The optimal conditions for rabbits would be suggested as 1 liter of CO2 gas per minute at 37°C for 30 minutes in consideration of the side effects on both circulatory and respiratory systems.
Based on the experimental data, conditions of 30 liters per minute at 40°C for 30 minutes would be recommended in clinical application of CO2 gas cabin.
5.Changes in Tissue Partial Pressure of Oxygen and Carbon dioxide in Water Bath
Tomoji KOHMOTO ; Yoshiaki KOMOTO
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1983;46(3-4):143-148
We examined Tissue Partial Pressure of O2 (PO2) and CO2 (PCO2), changes of Pulse Rate (P. R.) and Blood Pressure (B. P.) in a bath at different temperature using rabbit. Expeilmental method;
A rabbit about 2kg body weight is taken a bath at each temperature of 37°C, 40°C, and 43°C for 30 minutes by means of constant-temperature water bath method under the anesthesia of venous drip of NEMBUTAL® (Pentobarbital Sodium).
Teflon catheters for tissue gas analyses are inserted to the Cranial tibial muscle and the over-lying subcutaneous tissue. Tissue PO2 and PCO2 in a bath are measured by Medical Mass Spectrometry (MEDSPECT II, Chemetron, U. S. A.). The changes of B. P. and P. R. are recorded simultaneously.
Results and Discussion;
1, In a bath at 37°C, there are no changes on both B. P. and P. R., but the elevation of PO2 is a little, leading to an insignificant effect.
2, In a bath at 40°C, subcutaneous tissue PO2 and muscular tissue PO2 are found elevated by 74% and 53% respectively. P. R. is found increased by 34%, and B. P. is found reduced by 8%. This reduce of B. P. is due possibly to the peripheral vasodilatation. From the standpoint of a peripheral circulation, bath temperature of 40°C is thought to be efficient in washing out metabolites, leading to recovery from fatigue.
3, In a bath at 43°C, subcutaneous tissue PO2 and muscular tissue PO2 are found elevated by 74% and by 53% respectively. And tissue PCO2 are found elevated by 65% in subcutaneous tissue and by 64% in muscular one; 13% up from those found in a bath at 40°C, leading to some fatigue. B. P. is elevated by 16% and P. R. is increased by 69% respectively in a bath at 43°C. Arrhythmia occurs sometimes. It is, therefore, assumed that the man who has a handicap on the circulation system and the elder who has arteriosclerosis in his base should not take a bath at high temperature and/or for a long time.
10.Experimental study on the effects of serial artificial CO2 bathing.
Mitsuru SUNAKAWA ; Tomoji KOHMOTO ; Yoshiaki KOMOTO ; Hidenori YOROZU ; Yasuteru EGUCHI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 1986;49(2):83-88
Actual changes in tissue partial pressures of each gas and tissue perfusion with serial artificial CO2 bathing were evaluated by means of medical mass spectrometry using 5 rabbits.
An artificial CO2 bath was prepared by adding “BUB”-KAO, a 50g sodium hydrogencarbonate and succinic acid tablet producing fine CO2 bubbles in water of constant temperature 20-litre tub at 36-37°C.
Regional tissue perfusion volume was determined on the basis of a clearance curve for Argon tissue partial pressure which was monitored by an on-line computer system with mass spectrometry.
Increase in subcutaneous tissue PCO2 changed from 27% to 10%, and in PO2 from 12% to 5% on average by serial bathing every day for 4 weeks, on the other hand tissue perfusion volume was increased in 3 out of 5 cases; from 20.85±3.56 (X±SE) ml/100g/min, SD=6.71, p<0.05 to 25.23±8.00 (X±SE) ml/100g/min, SD=6.96, p<0.05.
CO2 has been shown to be locally absorbed through the skin resulting in the elevation of subcutaneous tissue CO2 partial pessure which decreases depending on the tissue perfusion irrespective of metabolic processes. It is, therefore, assumed that the elimination of absorbed constituents by serial bathings is not caused by a decrease in the percutaneous absorption rate but an increase in washing out rate by the improved tissue perfusion.