| Autor: |
M.I. Monge García, F. Barredo, G. Solares |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Revista Española de Anestesiología y Reanimación (English Edition). 67:563-567 |
| ISSN: |
2341-1929 |
| DOI: |
10.1016/j.redare.2020.02.004 |
| Popis: |
The Hypotension Prediction Index (HPi) is a new parameter, recently developed to predict the risk of a patient developing a hypotensive event, defined as a fall in mean arterial pressure below 65 mmHg. The calculated HPi value is displayed on a monitor as a number ranging from 1 to 100; where the first warning for the appearance of such event occurs when HPi values exceed 85. A secondary screen shows the stroke volume variation value; the dP/dt max; and the dynamic arterial elastance. We described a patient with a mild to moderately dilated cardiomyopathy that presented several episodes of hypotension after induction of anaesthesia and how by using HPi technology, these were successfully solved. We recommend the use of a HPi value >85 as a warning of intervention, and to use the secondary screen to determine the cause and the treatment. We consider that HPi technology may be a valid alternative for the anaesthetic management of patients with a dilated cardiomyopathy. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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