Raynaud's phenomenon in a child presenting as oxygen desaturation during transfusion with cold blood.
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.
Zhang
Xiaopeng
X
Division of Pediatric Anesthesia, Department of Anesthesia and Critical Care, Harvard Medical School, The MassGeneral Hospital for Children, Boston, MA 02114, USA.
Coté
Charles J
CJ
D000768:Anesthesia, General; D002056:Burns / Q000628:therapy; D003080:Cold Temperature; D004562:Electrocardiography; D005334:Fever / Q000150:complications; D006801:Humans; D000860:Hypoxia / Q000097:blood / Q000150:complications*; D007223:Infant; D008297:Male; D010092:Oximetry; D010100:Oxygen / Q000097:blood; D011928:Raynaud Disease / Q000209:etiology*; D065227:Transfusion Reaction
D010100:Oxygen