Hemodynamic Dimension Trend between Non Conversion and Conversion Lumbar Epidural Anesthesia to General Anesthesia Explored using Pulse Oximeter Technology

Background Lumbar epidural anesthesia was considered to be the gold standard in anesthesia practice. It caused some form sympathetic blockade and changed baseline peripheral vascular tone including some dynamic changes. However, failure of epidural anesthesia was a clinical problem together with difficult to predict failure based on clinical parameter and hemodynamic changes Methods Parturient undergoing lower segment caesarean section LSCS surgery under epidural anesthesia enrolled in this mono centric study. Also, there was a significant changed in the mean perfusion index with the rate of 115.4 increased of perfusion index PI for non conversion group in 20 minutes duration. The perfusion index PI for non conversion group increased with the rate of 80.0 in 20 minutes duration. Hemodynamic dimension especially referring to perfusion index PI p 0.05 at parameter value of base line 3.99 ± 0.44 contributed to the lumbar epidural anesthesia failure. Our overall lumbar epidural anesthesia failure rate was 3.8 in this study. Conclusions Perfusion index PI considered a reliable and simpler hemodynamic assessment for lumbar epidural anesthesia failure for parturient undergoing lower segment caesarean section LSCS surgery. Perhaps new heuristics in new Transition Policy Anesthesia Analysis TAPA could be developed for addressing more holistic in determination of lumbar epidural anesthesia failure among parturient undergoing lower segment caesarean section LSCS surgery in terms of hemodynamic dimension. Zafri Bin Yusoff | Ir. Dr Ahmad Faizul Bin Shamsudin "Hemodynamic Dimension Trend between Non Conversion and Conversion Lumbar Epidural Anesthesia to General Anesthesia Explored using Pulse Oximeter Technology" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-3 , April 2019, URL: https://www.ijtsrd.com/papers/ijtsrd21766.pdf Paper URL: https://www.ijtsrd.com/other-scientific-research-area/other/21766/hemodynamic-dimension-trend-between-non-conversion-and-conversion-lumbar-epidural-anesthesia-to-general-anesthesia-explored-using-pulse-oximeter-technology/zafri-bin-yusoff