Paediatr Anaesth. 2008 Dec;18(12):1208-10.

Raynaud's phenomenon in a child presenting as oxygen desaturation during transfusion with cold blood.

Source

Division of Pediatric Anesthesia, Department of Anesthesia and Critical Care, Harvard Medical School, The MassGeneral Hospital for Children, Boston, MA 02114, USA.

Abstract

We report a case of Raynaud's phenomenon (RP) triggered by transfusion of cold blood to a pediatric burn patient under general anesthesia. The child was febrile so a decision was made to not use a blood warmer. When the blood was rapidly administered the child suddenly developed 'desaturation'. The child was placed on 100% oxygen, adequate ventilation assured, and the color of his oral mucosa assessed as 'pink'. Placement of the oximeter on the opposite hand revealed 100% saturation. To our knowledge, this is the first case of apparent RP reported in a pediatric patient triggered by transfusion of cold blood.

PMID:: 19076576; [PubMed - indexed for MEDLINE]

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