Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 15, 2021Journal of Clinical MedicineOpen Access

The Use of the Hypotension Prediction Index Integrated in an Algorithm of Goal Directed Hemodynamic Treatment during Moderate and High-Risk Surgery

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does the Hypotension Prediction Index integrated in an algorithm of goal directed hemodynamic treatment reduce intraoperative hypotension in patients undergoing elective noncardiac surgery?

Population

Patients undergoing elective noncardiac surgery

Comparison

Hypotension Prediction Index prediction model vs standard care

Design

Single-center prospective study

Authors

MTMarina TsoumpaNational and Kapodistrian University of AthensAKAikaterini KyttariNational and Kapodistrian University of AthensSMStamo MatiatouNational and Kapodistrian University of Athens

Discussion

Loading...

Member takes

Implication

May reduce hypotension but risks hypertension overtreatment; leaves open net benefit pending RCTs.

Structured PICO

Does the Hypotension Prediction Index integrated in an algorithm of goal directed hemodynamic treatment reduce intraoperative hypotension in patients undergoing elective noncardiac surgery?

P
Population
Patients undergoing elective moderate and high-risk noncardiac surgery
I
Intervention
Hypotension Prediction Index integrated in an algorithm of goal directed hemodynamic treatment
C
Comparator
Standard care
O
Outcome
Intraoperative hypotensionsurrogate

The use of the Hypotension Prediction Index during noncardiac surgery reduces intraoperative hypotension but may increase the risk of overtreatment leading to hypertension.

Limitations

  • Single-center study

Cite This Study

Tsoumpa et al. (2021) studied this question.

synapsesocial.com/papers/6a01dae0fdf359f3d7d8b65ahttps://doi.org/10.3390/jcm10245884
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hypotension Prediction Index for Prevention of Hypotension during Moderate- to High-risk Noncardiac Surgery2020 · 202 citations
  2. 2Incidence of Intraoperative Hypotension as a Function of the Chosen Definition2007 · 724 citations
  3. 3Ability of an Arterial Waveform Analysis–Derived Hypotension Prediction Index to Predict Future Hypotensive Events in Surgical Patients2019 · 232 citations
  4. 4A Randomized Trial of Continuous Noninvasive Blood Pressure Monitoring During Noncardiac Surgery2018 · 186 citations
  5. 5Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery2016 · 1,141 citations