Perfusion Index-Guided Management of #Hypotension-Induced #Arrhythmia in a Child by Ramón Eizaga Rebollar in BJSTR

Abstract

A healthy 13-year-old child underwent day-surgery excision of #pilonidalsinus. 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 #peripheralperfusion. 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. 

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Perfusion Index-Guided Management of #Hypotension-Induced #Arrhythmia in a Child by Ramón Eizaga Rebollar in BJSTR