Real-time measurement of blood pressure with Nexfin in a patient with thalidomide-related phocomelia.
We report the novel application of photoplethysmographic technology with the Nexfin HD monitor for real-time measurement of blood pressure (BP) in a patient with tetraamelia. The patient was a 58-year-old man with tetraamelia secondary to thalidomide exposure in utero, who presented for surgical excision of a maxillary schwannoma. Because difficulty of cuff use on rudimentary limbs and failure to gain invasive arterial access due to abnormalities of limb vasculature, this population is known to pose some unique challenges for BP measurement. Nexfin may offer an alternative noninvasive method to detect BP in patients with phocomelia during the perioperative period.
Department of Anaesthesia, Vancouver Coastal Health, Suite JPP2449, 855 West 12th Avenue, Vancouver, BC V5Z 1M9. Canada. Electronic address: earle.rk@gmail.com.
Rosie
R
Earle
Department of Anaesthesia, Vancouver Coastal Health, Suite JPP2449, 855 West 12th Avenue, Vancouver, BC V5Z 1M9. Canada. Electronic address: Himat.Vaghadia@vch.ca.
Himat
H
Vaghadia
Department of Anaesthesia, Vancouver Coastal Health, Suite JPP2449, 855 West 12th Avenue, Vancouver, BC V5Z 1M9. Canada. Electronic address: Endashan@gmail.com.
Enda
E
Shanahan
Department of Anaesthesia, Vancouver Coastal Health, Suite JPP2449, 855 West 12th Avenue, Vancouver, BC V5Z 1M9. Canada. Electronic address: Raymond.Tang@vch.ca.
Raymond
R
Tang
Department of Anaesthesia, Vancouver Coastal Health, Suite JPP2449, 855 West 12th Avenue, Vancouver, BC V5Z 1M9. Canada. Electronic address: Andrew.Sawka@vch.ca.
Andrew
A
Sawka
D001795:Blood Pressure Determination / Q000295:instrumentation* / Q000379:methods; D015924:Blood Pressure Monitors; D004480:Ectromelia / Q000139:chemically induced / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative / Q000295:instrumentation* / Q000379:methods; D008991:Monitoring, Physiologic / Q000295:instrumentation* / Q000379:methods; D009442:Neurilemmoma / Q000601:surgery; D017156:Photoplethysmography / Q000295:instrumentation; D049188:Prenatal Injuries / Q000139:chemically induced; D015203:Reproducibility of Results; D013792:Thalidomide / Q000009:adverse effects*
D013792:Thalidomide
Case reports; Noninvasive blood pressure monitoring; Phocomelia; Thalidomide