Anesthesiology and Reanimation Department, Eskişehir Osmangazi University Hospital, Eskişehir, Turkey.
Anesteziyoloji ve Reanimasyon Anabilim Dalı, Eskişehir Osmangazi Üniversite Hastanesi, Büyükdere Mah., Odunpazari, Eskisehir, Turkey.
J Clin Monit Comput. 2024 Apr;38(2):553-555. doi: 10.1007/s10877-023-01102-5. Epub 2023 Nov 21.
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.
经动脉插管是重症监护病房和手术室中广泛应用的方法。然而，它有潜在的并发症，如血栓形成、外周栓塞、血肿形成和感染。Masimo Root Radical-7 脉搏 CO- 血氧仪®（Masimo 公司，加利福尼亚州欧文市，美国）是一种非侵入性血流动力学监测设备，测量灌注指数和容积变异指数，为麻醉师提供指导，以应对预计会出现血流动力学波动的情况。在这个特殊的病例中，灌注指数在接受细胞减灭术和腹腔热灌注化疗的患者的桡动脉栓塞的即时诊断中发挥了关键作用。
