Recent Technologies for Transcutaneous Oxygen and Carbon Dioxide Monitoring

The measurement of partial pressures of oxygen (O₂) and carbon dioxide (CO₂) is fundamental for evaluating a patient's conditions in clinical practice. There are many ways to retrieve O₂/CO₂ partial pressures and concentrations. Arterial blood gas (ABG) analysis is the gold standard technique for such a purpose, but it is invasive, intermittent, and potentially painful. Among all the alternative methods for gas monitoring, non-invasive transcutaneous O₂ and CO₂ monitoring has been emerging since the 1970s, being able to overcome the main drawbacks of ABG analysis. Clark and Severinghaus electrodes enabled the breakthrough for transcutaneous O₂ and CO₂ monitoring, respectively, and in the last twenty years, many innovations have been introduced as alternatives to overcome their limitations. This review reports the most recent solutions for transcutaneous O₂ and CO₂ monitoring, with a particular consideration for wearable measurement systems. Luminescence-based electronic paramagnetic resonance and photoacoustic sensors are investigated. Optical sensors appear to be the most promising, giving fast and accurate measurements without the need for frequent calibrations and being suitable for integration into wearable measurement systems.