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

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

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

DOI: 10.26717/BJSTR.2018.02.000783

Full Text PDF

To view the Full Article   Peer-reviewed Article PDF

Abstract

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|