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Diagnostic utility of perfusion index in identifying radial artery embolism during hyperthermic intraperitoneal chemotherapy procedure: a case report

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Abstract

Invasive arterial cannulation is a widely used method in intensive care units and operating rooms. However it has potential complications such as thrombosis, peripheral embolism, hematoma formation, and infection. The Masimo Root Radical-7 Pulse CO-Oximeter® (Masimo Corporation, Irvine, CA, USA) is a non-invasive hemodynamic monitoring device that measures perfusion index and pleth variability index, provides guidance to anaesthesiologists in the cases where hemodynamic fluctuations are expected. In this particular case, the perfusion index played a crucial role in the immediate diagnosis of radial artery embolism in a patient undergoing cytoreductive surgery and hyperthermic intraperitoneal chemotherapy procedure.

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References

  1. Brown AE, Sweeney DB, Lumley J. Percutaneous radial artery cannulation. Anaesthesia. 1969;24:532–6. https://doi.org/10.1111/j.1365-2044.1969.tb02906.x.

    Article  CAS  PubMed  Google Scholar 

  2. Lima A, Bakker J. Noninvasive monitoring of peripheral perfusion. Intensive Care Med. 2005;31:1316–26. https://doi.org/10.1007/s00134-005-2790-2.

    Article  PubMed  Google Scholar 

  3. Cannesson M, Delannoy B, Morand A, Rosamel P, Attof Y, Bastien O, Lehot JJ. Does the pleth variability index indicate the respiratory-induced variation in the plethysmogram and arterial pressure waveforms? Anesth Analg. 2008;106:1189–94. https://doi.org/10.1213/ane.0b013e318167ab1f.

    Article  PubMed  Google Scholar 

  4. Wilkins RG. Radial artery cannulation and ischaemic damage: a review. Anaesthesia. 1985;40:896–9. https://doi.org/10.1111/j.1365-2044.1985.tb11055.x.

    Article  CAS  PubMed  Google Scholar 

  5. Mozersky DJ, Buckley CJ, Hagood CO Jr, Capps WF Jr, Dannemiller FJ Jr. Ultrasonic evaluation of the palmar circulation. A useful adjunct to radial artery cannulation. Am J Surg. 1973;126:810–2. https://doi.org/10.1016/s0002-9610(73)80077-7.

    Article  CAS  PubMed  Google Scholar 

  6. Barbeau GR, Arsenault F, Dugas L, Simard S, Lariviere MM. Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography: comparison with the Allen’s test in 1010 patients. Am Heart J. 2004;147:489–93. https://doi.org/10.1016/j.ahj.2003.10.038.

    Article  PubMed  Google Scholar 

  7. Ginosar Y, Weiniger CF, Meroz Y, Kurz V, Bdolah-Abram T, Babchenko A, Nitzan M, Davidson EM. Pulse oximeter perfusion index as an early indicator of sympathectomy after epidural anesthesia. Acta Anaesthesiol Scand. 2009;53:1018–26. https://doi.org/10.1111/j.1399-6576.2009.01968.x.

    Article  CAS  PubMed  Google Scholar 

  8. Cetgen N, Ener D, Dogukan M, Duran M, Uludag O. Perfusion index value in determining the success of axillary block. J Coll Physicians Surg Pak. 2022;32:1105–9. https://doi.org/10.29271/jcpsp.2022.09.1105.

    Article  PubMed  Google Scholar 

  9. Abdelhamid B, Yassin A, Ahmed A, Amin S, Abougabal A. Perfusion index-derived parameters as predictors of hypotension after induction of general anaesthesia: a prospective cohort study. Anaesthesiol Intensive Ther. 2022;54:34–41. https://doi.org/10.5114/ait.2022.113956.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Toyama S, Kakumoto M, Morioka M, Matsuoka K, Omatsu H, Tagaito Y, Numai T, Shimoyama M. Perfusion index derived from a pulse oximeter can predict the incidence of hypotension during spinal anaesthesia for caesarean delivery. Br J Anaesth. 2013;111:235–41. https://doi.org/10.1093/bja/aet058.

    Article  CAS  PubMed  Google Scholar 

  11. Al-Metwalli RR. Perfusion index as an objective alternative to the Allen test, with flow quantification and medico legal documentation. Anaesth Pain Intensive Care. 2014;18:245–9.

    CAS  Google Scholar 

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscript.

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Authors and Affiliations

  1. Anesthesiology and Reanimation Department, Eskişehir Osmangazi University Hospital, Eskişehir, Turkey

    İrem Eraslan, Burak Taha Sarıoğlan, Sinan Ünsal & Gülay Erdoğan Kayhan

  2. Anesteziyoloji ve Reanimasyon Anabilim Dalı, Eskişehir Osmangazi Üniversite Hastanesi, Büyükdere Mah., Odunpazari, Eskisehir, Turkey

    İrem Eraslan

Authors
  1. İrem Eraslan
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  2. Burak Taha Sarıoğlan
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  3. Sinan Ünsal
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  4. Gülay Erdoğan Kayhan
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All authors contributed to the managing of the patient and the writing of this manuscript.

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Correspondence to İrem Eraslan.

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Eraslan, İ., Sarıoğlan, B.T., Ünsal, S. et al. Diagnostic utility of perfusion index in identifying radial artery embolism during hyperthermic intraperitoneal chemotherapy procedure: a case report. J Clin Monit Comput 38, 553–555 (2024). https://doi.org/10.1007/s10877-023-01102-5

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  • DOI: https://doi.org/10.1007/s10877-023-01102-5

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