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Anesth Analg 2007;104:1034-1036
© 2007 International Anesthesia Research Society
doi: 10.1213/01.ane.0000260265.53212.fe

CARDIOVASCULAR ANESTHESIA

Cerebral Oxygen Desaturation After Cardiopulmonary Bypass in a Patient with Raynaud's Phenomenon Detected by Near-Infrared Cerebral Oximetry

Jesse H. Aron, MD*{dagger}, Gregory W. Fink, MD{ddagger}, Michael F. Swartz, PA{ddagger}, Brant Ford, PA{ddagger}, Michael C. Hauser, MD*{dagger}, Colleen E. O'Leary, MD*{dagger}, and Ferenc Puskas, MD, PhD*{dagger}

From the Departments of *Anesthesiology, {dagger}Surgery, and {ddagger}Division of Cardiothoracic Surgery, SUNY Upstate Medical University, Syracuse, New York.

Address correspondence and reprint requests to Ferenc Puskas, MD, PhD, Department of Anesthesiology, University of Colorado at Denver, and Health Sciences Center, 4200 East 9th Ave., B113, CO. Address e-mail to ferenc.puskas{at}uchsc.edu.

Raynaud's phenomenon is characterized by episodes of arterial vasospasm precipitated by cold stress, usually affecting the digits of the hands. There is controversy about the occurrence of vasospasm in internal organ systems. In this report, we present a case of Raynaud's peripheral vasospasm accompanied by cerebral oxygen desaturation as detected by near infrared cerebral oximetry after separation from cardiopulmonary bypass.




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H. Roberts and S. Tomlinson
Cerebral vasospasm and primary Raynaud's phenomenon
Br. J. Anaesth., November 1, 2008; 101(5): 743 - 744.
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Lippincott, Williams & Wilkins Anesthesia & Analgesia® is published for the International Anesthesia Research Society® by Lippincott Williams & Wilkins with the assistance of Stanford University Libraries' HighWire Press®. Copyright 2006 by the International Anesthesia Research Society. Online ISSN: 1526-7598   Print ISSN: 0003-2999 HighWire Press
Copyright © 2007 by the International Anesthesia Research Society.