NON-INVASIVE MONITORING OF FINGER ARTERIAL PRESSURE IN PATIENTS WITH RAYNAUD'S PHENOMENON: EFFECTS OF EXPOSURE TO COLD
We studied the effects of exposure to cold on finger arterial pressure (FAP) measured by a finger arterial pressure monitor in 15 patients with Raynaud's phenomenon and in 15 healthy volunteers. The cold exposure induced vasoconstriction of the peripheral vascular bed as judged by the plethysmo...
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Veröffentlicht in: | British journal of anaesthesia : BJA 1990-10, Vol.65 (4), p.558-563 |
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description | We studied the effects of exposure to cold on finger arterial pressure (FAP) measured by a finger arterial pressure monitor in 15 patients with Raynaud's phenomenon and in 15 healthy volunteers. The cold exposure induced vasoconstriction of the peripheral vascular bed as judged by the plethysmograph of a pulse oximeter and had marked effects on FAP values compared with upper arm arterial pressure. Immediately after the cold exposure, FAP decreased significantly (P ⩽ 0.01) in both groups. However, during the subsequent 20 min, FAP values increased in relation to upper arm pressure. Finally, FAP values were greater than upper arm pressure in the control individuals, but not in patients with Raynaud's phenomenon. These results have implications for non-invasive monitoring of arterial pressure by the finger pressure device. Clinically, significant problems may arise in the monitoring of FAP in patients with a systemic connective tissue disease affecting peripheral circulation. |
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The cold exposure induced vasoconstriction of the peripheral vascular bed as judged by the plethysmograph of a pulse oximeter and had marked effects on FAP values compared with upper arm arterial pressure. Immediately after the cold exposure, FAP decreased significantly (P ⩽ 0.01) in both groups. However, during the subsequent 20 min, FAP values increased in relation to upper arm pressure. Finally, FAP values were greater than upper arm pressure in the control individuals, but not in patients with Raynaud's phenomenon. These results have implications for non-invasive monitoring of arterial pressure by the finger pressure device. 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The cold exposure induced vasoconstriction of the peripheral vascular bed as judged by the plethysmograph of a pulse oximeter and had marked effects on FAP values compared with upper arm arterial pressure. Immediately after the cold exposure, FAP decreased significantly (P ⩽ 0.01) in both groups. However, during the subsequent 20 min, FAP values increased in relation to upper arm pressure. Finally, FAP values were greater than upper arm pressure in the control individuals, but not in patients with Raynaud's phenomenon. These results have implications for non-invasive monitoring of arterial pressure by the finger pressure device. Clinically, significant problems may arise in the monitoring of FAP in patients with a systemic connective tissue disease affecting peripheral circulation.</description><subject>Adult</subject><subject>Aged</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure - physiology</subject><subject>Blood Pressure Determination - methods</subject><subject>Blood Pressure Monitors</subject><subject>Cold Temperature - adverse effects</subject><subject>Complications: cold exposure</subject><subject>Connective Tissue Diseases - physiopathology</subject><subject>Emergency and intensive care: techniques, logistics</subject><subject>Evaluation Studies as Topic</subject><subject>Female</subject><subject>Fingers - blood supply</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Monitoring</subject><subject>Monitoring: finger arterial pressure</subject><subject>Plethysmography</subject><subject>Raynaud Disease - physiopathology</subject><subject>Raynaud's phenomenon</subject><subject>Time Factors</subject><issn>0007-0912</issn><issn>1471-6771</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1990</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkM1v0zAYhy0EGt3gxhXJF-CydHYSf4RblDpLROdUSVrGLpbrOlK2foy4neC_x6PVuHCw3sPv8U_v-wDwAaMxRkl0tbzXV5SM4zEh_BUY4ZjhgDKGX4MRQogFKMHhW3Du3D1CmIUJOQNnYRhzHrIReJKVDEq5SJtyIeBNJcu2qkt5Dasc5n6KGqZ1K-oyncJZLZpmXgtYSjhL21LItoHfy7aAdfpDpvPJlwbOCiGrG__kVyjyXGQe8VXidlb9_dpWMKumk3fgTafXzr4_zQswz0WbFcG0ui6zdBqYiEc8sHpJbLzUYdxp26063VGrI0ZI0mmcsJAwww3RnDKNmdWar6zBRFMaIxtaRKML8PnY-zjsfh6s26tN74xdr_XW7g5OcYSjhHHkwcsjaIadc4Pt1OPQb_TwW2GknjUrr1lRomLlNXv846n3sNzY1Qt88urzT6dcO6PX3aC3pnf_OpPIr4hDzwVHrnd7--sl18ODoswfqorbO_WNZJNige_U8z30yFsv7am3g3Kmt1tjV_1gzV6tdv3_F_4D4a-eDA</recordid><startdate>199010</startdate><enddate>199010</enddate><creator>KURKI, T.S.</creator><creator>PIIRAINEN, H.I.</creator><creator>KURKI, P.T.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199010</creationdate><title>NON-INVASIVE MONITORING OF FINGER ARTERIAL PRESSURE IN PATIENTS WITH RAYNAUD'S PHENOMENON: EFFECTS OF EXPOSURE TO COLD</title><author>KURKI, T.S. ; PIIRAINEN, H.I. ; KURKI, P.T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3838-eab5e4ba24faefdfaf6ea37559fa197257c8c5a867a17eaa8dec15a6640e2e063</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1990</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Anesthesia. 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The cold exposure induced vasoconstriction of the peripheral vascular bed as judged by the plethysmograph of a pulse oximeter and had marked effects on FAP values compared with upper arm arterial pressure. Immediately after the cold exposure, FAP decreased significantly (P ⩽ 0.01) in both groups. However, during the subsequent 20 min, FAP values increased in relation to upper arm pressure. Finally, FAP values were greater than upper arm pressure in the control individuals, but not in patients with Raynaud's phenomenon. These results have implications for non-invasive monitoring of arterial pressure by the finger pressure device. Clinically, significant problems may arise in the monitoring of FAP in patients with a systemic connective tissue disease affecting peripheral circulation.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>2248827</pmid><doi>10.1093/bja/65.4.558</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences Blood Pressure - physiology Blood Pressure Determination - methods Blood Pressure Monitors Cold Temperature - adverse effects Complications: cold exposure Connective Tissue Diseases - physiopathology Emergency and intensive care: techniques, logistics Evaluation Studies as Topic Female Fingers - blood supply Humans Intensive care medicine Male Medical sciences Middle Aged Monitoring Monitoring: finger arterial pressure Plethysmography Raynaud Disease - physiopathology Raynaud's phenomenon Time Factors |
title | NON-INVASIVE MONITORING OF FINGER ARTERIAL PRESSURE IN PATIENTS WITH RAYNAUD'S PHENOMENON: EFFECTS OF EXPOSURE TO COLD |
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