Hemodynamic monitoring with Hypotension Prediction Index versus arterial waveform analysis alone and incidence of perioperative hypotension

Autor:	Jan M Wischermann, Ulrich H. Frey, Philipp Fassbender, Carla D Grundmann, Petra Bischoff
Rok vydání:	2021
Předmět:	Adult business.industry Incidence (epidemiology) Incidence Personalized treatment Hemodynamic Monitoring Hemodynamics General Medicine Invasive arterial pressure Perioperative Anesthesiology and Pain Medicine Pulse waveform Anesthesia Clinical endpoint Medicine Humans Arterial Pressure Hypotension business Noncardiac surgery Retrospective Studies
Zdroj:	Acta anaesthesiologica ScandinavicaREFERENCES. 65(10)
ISSN:	1399-6576
Popis:	BACKGROUND Intraoperative hypotension is associated with increased morbidity and mortality. The Hypotension Prediction Index (HPI) is an advancement of the arterial waveform analysis to predict intraoperative hypotension minutes before episodes occur enabling preventive treatments. We tested the hypothesis that the HPI combined with a personalized treatment protocol reduces intraoperative hypotension when compared to arterial waveform analysis alone. METHODS We conducted a retrospective analysis of 100 adult consecutive patients undergoing moderate- or high-risk noncardiac surgery with invasive arterial pressure monitoring using either index guidance (HPI) or arterial waveform analysis (FloTrac) depending on availability (FloTrac, n = 50; HPI, n = 50). A personalized treatment protocol was applied in both groups. The primary endpoint was the incidence and duration of hypotensive events defined as MAP
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0e9a834a6d97efece314b46e26918235 https://pubmed.ncbi.nlm.nih.gov/34322869 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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