Hypotension Prediction Index in Postoperative Surgical Patients in the Post-anesthetic Recovery Room - a Feasibility Study
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Surgery
- Sponsor
- Sir Mortimer B. Davis - Jewish General Hospital
- Enrollment
- 30
- Locations
- 1
- Primary Endpoint
- Incidence of intraoperative hypotension
- Status
- Recruiting
- Last Updated
- 11 months ago
Overview
Brief Summary
PACU-HPI study evaluates the use of a hemodynamic monitor in the post-anesthetic recovery room on patients undergoing colorectal, hepatobiliary, and vascular surgery, to determine the feasibility of recruiting this surgical population.
Detailed Description
Postoperative vascular complications, including myocardial infarction (MI), myocardial injury after noncardiac surgery (MINS), stroke, and death occur in up to 18% of surgical patients.1 Hypotension is a frequent occurrence in the postoperative period and can increase the risk of postoperative vascular complications.2 Therefore, accurate prediction of postoperative hypotension can identify patients at risk for postoperative vascular complications who would benefit from early intervention. The investigators propose a feasibility study to determine the accuracy of the hypotension prediction index (HPI) parameter of the HemoSphere monitor and Acumen IQ sensor (Edwards Lifesciences, Irvine, CA) to predict postoperative hypotension in surgical patients.
Investigators
Stephen Yang
Assistant Professor, Department of Anesthesia, Principal Investigator
Sir Mortimer B. Davis - Jewish General Hospital
Eligibility Criteria
Inclusion Criteria
- •Patient ≥45 years old
- •Will undergo open colorectal, hepatobiliary, or vascular surgery;
- •Is expected to have an arterial cannula inserted intraoperatively;
- •Has an anticipated stay in PACU for at least 2 hours;
- •Able to provide written informed consent
Exclusion Criteria
- •Planned admission to ICU;
- •Refusal to participate;
- •Previously enrolled in the study
Outcomes
Primary Outcomes
Incidence of intraoperative hypotension
Time Frame: in 12 months
Describe the incidence of hypotension defined as MAP \<65 intraoperatively.
Incidence of postoperative hypotension
Time Frame: in 12 months
Describe the incidence of postoperative hypotension defined as MAP \<65 in the PACU
Hemodynamic changes with treatment of hypotension
Time Frame: in 12 months
Described the changes in cardiac index with each medical treatment of a hypotensive episode.
Secondary Outcomes
- Sensitivity and Specificity of HPI(in 12 months)
- Cardiovascular outcomes(in 12 months)