Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
March 2, 2023MedicinaOpen Access

Intraoperative Hypotension Prediction—A Proactive Perioperative Hemodynamic Management—A Literature Review

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Intraoperative hypotension causes significant perioperative complications, but current management remains reactive despite advanced hemodynamic monitoring and goal-directed therapy protocols.

Does the Hypotension Prediction Index (HPI) algorithm reduce the incidence of intraoperative hypotension in patients undergoing general anesthesia?

Population

Patients undergoing general anesthesia

Comparison

Hypotension Prediction Index algorithm use vs standard care

Design

Literature review

Authors

JSJakub SzramaPoznan University of Medical SciencesAGAgata GradysPoznan University of Medical SciencesTBTomasz BartkowiakPoznan University of Medical Sciences

Discussion

Loading...

Member takes

Implication

HPI may enable proactive management of intraoperative hypotension; leaves open whether adoption reduces complications in routine care.

Structured PICO

Does the Hypotension Prediction Index (HPI) algorithm reduce the incidence of intraoperative hypotension in patients undergoing general anesthesia?

P
Population
Patients undergoing general anesthesia
I
Intervention
Hypotension Prediction Index (HPI) algorithm
O
Outcome
Incidence of intraoperative hypotension (MAP <65 mmHg for at least 1 min)

While the Hypotension Prediction Index (HPI) shows promise in reducing intraoperative hypotension, current evidence is of very low quality and requires further outcome-based studies.

Limitations

  • Level of evidence on the use of HPI remains very low
  • Further studies are needed to show benefits on perioperative outcomes

Cite This Study

Szrama et al. (2023) studied this question.

synapsesocial.com/papers/6a70d6b522b3175134db5894https://doi.org/10.3390/medicina59030491
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. 1Association between perioperative fluid administration and postoperative outcomes: a 20-year systematic review and a meta-analysis of randomized goal-directed trials in major visceral/noncardiac surgery2021 · 128 citations
  2. 2Pitfalls in haemodynamic monitoring based on the arterial pressure waveform2010 · 57 citations
  3. 3The association of hypotension during non‐cardiac surgery, before and after skin incision, with postoperative acute kidney injury: a retrospective cohort analysis2018 · 262 citations
  4. 4The Use of the Hypotension Prediction Index Integrated in an Algorithm of Goal Directed Hemodynamic Treatment during Moderate and High-Risk Surgery2021 · 92 citations
  5. 5Perioperative stroke – Prediction, Prevention, and Protection2018 · 18 citations