What Researchers Did
Researchers monitored oxygen levels and pH in tissues and tumours of 12 patients undergoing isolated limb perfusion (ILP) with melphalan, tripling oxygen supply to the perfusate near the end of the procedure.
What They Found
Increasing oxygen supply during isolated limb perfusion (ILP) significantly raised arterial pO2 from 25.5 to 49.4 kPa and subcutaneous pO2 from 10.1 to 16.3 kPa. While muscle pH improved (p = 0.011), tumour pH in 4 patients rose from 7.10 to 7.22, which may negatively impact melphalan's effectiveness as low pH enhances its cytotoxicity.
Canadian Relevance
This pilot study has no direct Canadian connection.
Study Limitations
This was a pilot study with a small sample size, particularly for tumour pH measurements, and the observed tumour pH rise was not statistically significant.