Title: The Variability of Perfusion Index as a New Parameter in Different Types of Anaesthesia Techniques and Its Correlation with Surgical Stress and Recovery From Anesthesia: An Observational Clinical Study
Authors: Dr Amit Kumar MD (Anesthesiology), Dr A.V. Nadkarni MD,D.A. (Anesthesiology)
DOI: https://dx.doi.org/10.18535/jmscr/v5i1.11
Abstract
INTRODUCTION
Perfusion index is an indirect, non invasive, numerical, dynamic and continuous measure of peripheral perfusion obtained from pulse oximeter that provides useful information to the physician in several clinical settings. Perfusion index is reliable and easier alternative for detection of stress response during induction59 and peri-operative period of operation and has a prognostic value in predicting peri-operative outcome.65
Trends in change of perfusion index reveals even the subtle changes in peripheral circulation that is otherwise missed in static display.
In anaesthetic settings spike in perfusion index indicates onset of anaesthesia at the physiological level and gives physicians one more tool to further consolidate onset of anaesthesia15,19,44,48,64.Peripheral Perfusion index alterations are more marked in patients who are likely to develope severe complications.Studies are also showing that treatment based on perfusion index can lead to improved patient outcome.
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