Why the study?
Intraoperative hypotension is associated with adverse outcomes, prompting an exploration of clinicians' beliefs and treatment barriers, alongside evaluating whether educational interventions with mandated blood pressure targets or Hypotension Prediction Index software reduce hypotension.
Does an educational intervention with mandated MAP targets or the use of Hypotension Prediction Index (HPI) software reduce intraoperative hypotension in elective major surgical patients?
Population
150 elective major surgical patients requiring invasive blood pressure monitoring and clinicians
Comparison
Standard care vs clinician training with mandated MAP > 65 mmHg vs HPI-protocolized care
Design
Mixed methods study
Authors
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HPI use was associated with less IOH while education plus mandated MAP was not; leaves open whether prospective trials will confirm benefit.
Does an educational intervention with mandated MAP targets or the use of Hypotension Prediction Index (HPI) software reduce intraoperative hypotension in elective major surgical patients?
Protocolized care using the Hypotension Prediction Index (HPI) software significantly reduced the time-weighted average of intraoperative hypotension compared to standard care or an educational intervention alone.
Keijzer et al. (2023) studied this question.
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