The effect of perioperative hypotension on perfusion index in infants in cesarean delivery with spinal anesthesia

Aim: The perfusion index (PI) is maintained as the rate of pulsatile blood flow to nonpulsatile flow in the peripheral extremity and is used as a rapid indicator of microcirculatory changes.Material and Methods: Fifty patients a gestational age of 38-42 weeks and a planned elective cesarean were included in our study. Patients who did not develop hypotension after spinal anesthesia and were not administered ephedrine (Group 1) and newborn patients who developed hypotension and needed ephedrine (Group 2) were divided into 2 groups.Results: There was no statistical difference in PVI and PI measurements between Group1 and Group 2.Discussion: Negative effects on PI, PVI and APGAR scores that may develop in the newborn can be prevented with rapid and adequate fluid replacement and appropriate vasoconstrictive treatment.