Loss of hemodynamic coherence diagnosed using a continuous monitoring of esophageal photoplethysmography: A case report [Turk J Anaesthesiol Reanim]
Turk J Anaesthesiol Reanim. Ahead of Print: TARD-19794

Loss of hemodynamic coherence diagnosed using a continuous monitoring of esophageal photoplethysmography: A case report

Vacheron Charles-hervé1, Allaouchiche Bernard2
1Service d’Anesthésie Réanimation, Groupement Hospitalier Sud, Hospices Civils de Lyon, 165 Chemin du Grand Revoyet, 69495 Pierre Bénite – France
2Agressions Pulmonaires et Circulatoires dans le Sepsis APCSe VetAgro Sup UPSP 2016.A101

We report the case of a 75-year-old man with appendicular peritonitis in whom we monitored esophageal tissue perfusion using a new photoplethysmographic probe. As the patient had lactic acidosis, we chose to increase the MAP using norepinephrine. Thanks to an esophageal photoplethysmographic signal, we could observe a loss of hemodynamic coherence and a severe alteration of tissue perfusion triggered by the increase of MAP. Taking into account a new information regarding tissular perfusion status, we were able to adjust our MAP targets accordingly, and restore initial PI values. This case illustrates the loss of hemodynamic coherence and highlights the clinical relevance of continuous tissue perfusion monitoring to highlight potential adverse effects of norepinephrine.

Keywords: : hemodynamic coherence, photoplethysmography, hemodynamic




Corresponding Author: Vacheron Charles-hervé, France


TOOLS
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar