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Prevention or Treatment of Arterial Hypotension and Oxygen Cerebral Saturation During Major Abdominal Surgery

Not Applicable
Completed
Conditions
Hypotension During Surgery
Hemodynamic Instability
Interventions
Device: HPI
Registration Number
NCT05481047
Lead Sponsor
Fondazione Policlinico Universitario Agostino Gemelli IRCCS
Brief Summary

In this study investigators will explore the association between intraoperative arterial hypotension and cerebral oxygen saturation in patients scheduled for major abdominal surgery. Investigators will assign patients to control or interventional group. In this last group arterial hypotension will be avoided based on a HPI (Hypotension Predictive Index) protocol. In the control group arterial hypotension will be promptly treated according to hemodynamic variables.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
48
Inclusion Criteria
  • patients scheduled for abominal surgery
Exclusion Criteria
  • Emergency surgery
  • end-stage renal disease
  • pregnancy
  • obesity
  • atrial fibrillation
  • previous cerebral ischaemia
  • central nervous system disorders
  • severe cardiac valvular disease

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
preventionHPIinvestigator will prevent intraoperative arterial hypotension based on HPI index
Primary Outcome Measures
NameTimeMethod
Cerebral tissue oximetryimmediately after surgery

the difference among the two groups of the percentage value of the median value of Cerebral Oxygen Saturation measured by the near-nfrared spectroscopic technology (Foresight sensor)

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Fondazione Policlinico Universitairo Agostino Gemelli

🇮🇹

Roma, RM, Italy

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