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
Hauptverfasser: KURKI, T.S., PIIRAINEN, H.I., KURKI, P.T.
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KURKI, P.T.
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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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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