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Case ReportOpen Access

Perfusion Index-Guided Management of Hypotension-Induced Arrhythmia in a Child

Volume 2 - Issue 4

Ramón Eizaga Rebollar*1, Javier Morales Guerrero1, Luis Miguel Torres Morera1 and María Victoria García Palacios2

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    • 1Department of Anesthesiology and Reanimation, Puerta de Mar University Hospital, Spain
    • 2Department of Preventive Medicine and Public Health, Puerta del mar University Hospital, Spain

    *Corresponding author: Ramón Eizaga Rebollar, Puerta del Mar University Hospital, Ana de Viya, 21, 11009, Cádiz, Spain

Received: February 12, 2018;   Published: February 21, 2018

DOI: 10.26717/BJSTR.2018.02.000783

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A healthy 13-year-old child underwent day-surgery excision of pilonidal sinus. After the induction, atrial bigeminy was detected in the ECG. Both heart rate (HR) and blood pressure (BP) were initially considered normal from preoperative baseline values, but not the perfusion index (PI), which seemed to reflect a low peripheral perfusion. Therefore, BP was reconsidered as inadequate and hypotension as the probable cause of the arrhythmia, and so it was treated. We believe that PI represents a valuable tool to predict intraoperative hypotension, and to guide its management.

Keywords: Perfusion index; Hypotension; Pediatric Anesthesia; Arrhythmia; Child

Abstract| Introduction| Case Description| Discussion| References|