*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
To view the Full Article Peer-reviewed Article PDF
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