Does the Hypotension Prediction Index integrated in an algorithm of goal directed hemodynamic treatment reduce intraoperative hypotension in patients undergoing elective noncardiac surgery?
The use of the Hypotension Prediction Index during noncardiac surgery reduces intraoperative hypotension but may increase the risk of overtreatment leading to hypertension.
= 0.0003). We also observed an increase in hypertension in the intervention group as well as a higher weight-adjusted administration of phenylephrine in the intervention group. (4) Conclusions: In this single-center prospective study of patients undergoing elective noncardiac surgery, the use of this prediction model resulted in less intraoperative hypotension compared with standard care. An increase in the time spent in hypertension in the treatment group was also observed, probably as a result of overtreatment. This should provide an insight for refining the use of this prediction index in future studies to avoid excessive correction of blood pressure.
Tsoumpa et al. (Wed,) studied this question.