Print

Print


Carolyn,

the only thing i would add to Matts comments is leave the ppg sensor on
under the gloves when you immerse the hands, it allows immediate
documentation of the vasospasm if present.


...TJ

To handle yourself, use your head. To handle others, use your heart.


On Mon, Jan 11, 2010 at 11:25 AM, Smith, Matthew G. <
[log in to unmask]> wrote:

>  Carolyn,
>
>
>
> Perform a complete bilateral upper extremity study first (to rule out
> arterial stenosis, (segmental pressures, Doppler and PVRs)).  This should
> include PPG waveforms and resting pressures of the affected digits (or
> every digit if you wish).  Next, the patient immerses their hands in ice
> water for 5 minutes (if they can tolerate it that long) and PPGwaveforms/digital pressures are taken at 1 minute intervals, for 5 minutes.
> If thereís a notable decrease in PPG waveforms/pressures that donít
> normalize in 5 minutes, itís suggestive of Raynaudís.  Depending on your
> setup, it may be easiest to just record PPG waveforms at 1 minute
> increments.  I also have the patientís wear exam gloves for the cold
> immersion, so their hands arenít sopping wet.
>
>
>
>
>
> Matt
>
>
>
> -----Original Message-----
> *From:* UVM Flownet [mailto:[log in to unmask]] *On Behalf Of *Carolyn
> Kokoski
> *Sent:* Monday, January 11, 2010 10:02
> *To:* [log in to unmask]
> *Subject:* cold immersion studiies
>
>
>
>    I have not had to perform a cold immersion study in quite some years and
> am being asked to perform one next week.  I am having a hard time recalling
> the proper protocalor finding it in the manual.  The machine I have
> available is a Unetixs Freedom V.  Any assistance will be greatly
> appreciated.  Thank you in advance for your help. Carolyn
>  ------------------------------
>
> Hotmail: Trusted email with Microsoftís powerful SPAM protection. Sign up
> now. <http://clk.atdmt.com/GBL/go/196390706/direct/01/>
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.htmlTo unsubscribe or search other
> topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html