PULSE OXIMETRY IN THE EVALUATION OF THE PAINFUL HAND AFTER ARTERIOVENOUS-FISTULA CREATION

被引:29
作者
HALEVY, A [1 ]
HALPERN, Z [1 ]
NEGRI, M [1 ]
HOD, G [1 ]
WEISSGARTEN, J [1 ]
AVERBUKH, Z [1 ]
MODAI, D [1 ]
机构
[1] TEL AVIV UNIV,ASSAF HAROFEH MED CTR,SACKLER FAC MED,NEPHROL UNIT,IL-70300 ZERIFIN,ISRAEL
关键词
D O I
10.1016/0741-5214(91)90248-S
中图分类号
R61 [外科手术学];
学科分类号
摘要
Five patients with a side-to-side arteriovenous fistula complaining of pain, numbness, and cold sensation were evaluated by pulse oximetry. Low Sao2 was noticed in all five. Closure of a major proximal venous collateral vessel eliminated the steal and resulted in Sao2 correction and was followed by clinical amelioration. Pulse oximetry proved to be a helpful adjunct in the evaluation of the painful hand after creation of an arteriovenous fistula. By applying the pulse oximeter to the patient's affected limb, we were able to determine whether the pain was a result of ischemia and if the correction of the steal improved oxygenation.
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页码:537 / 539
页数:3
相关论文
共 6 条
[1]   CHRONIC HEMODIALYSIS USING VENIPUNCTURE AND A SURGICALLY CREATED ARTERIOVENOUS FISTULA [J].
BRESCIA, MJ ;
CIMINO, JE ;
APPEL, K ;
HURWICH, BJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1966, 275 (20) :1089-&
[2]   EFFECTS OF PERIPHERAL VASOCONSTRICTION ON THE BLOOD-PRESSURE IN THE FINGER, MEASURED CONTINUOUSLY BY A NEW NONINVASIVE METHOD (THE FINAPRES) [J].
DORLAS, JC ;
NIJBOER, JA ;
BUTIJN, WT ;
VANDERHOEVEN, GMA ;
SETTELS, JJ ;
WESSELING, KH .
ANESTHESIOLOGY, 1985, 62 (03) :342-345
[3]  
Kurki T, 1987, J Clin Monit, V3, P6, DOI 10.1007/BF00770876
[4]  
QUINTON W, 1960, T AM SOC ART INT ORG, V6, P104
[5]  
STOREY BG, 1969, SURGERY, V66, P325
[6]  
TREMPER KK, 1989, ANESTHESIOLOGY, V70, P98, DOI 10.1097/00000542-198901000-00019