Status:

COMPLETED

HPI Index With GDHT in Predicting Hypotension In General Anesthesia Patients

Lead Sponsor:

Attikon Hospital

Conditions:

Hypotension During Surgery

Eligibility:

All Genders

18+ years

Brief Summary

The study will investigate whether the use of Goal Directed Hemodynamic Therapy implemented with the HPI algorithm using a treatment algorithm will reduce the incidence of hypotension and improve trea...

Detailed Description

The perioperative period is characterized by hemodynamic instability. Intraoperative hypotension (IOH) can be caused by anesthesia drugs, surgical manipulations, hypovolemia or inhibition of the sympa...

Eligibility Criteria

Inclusion

  • Aged 18 years or older
  • Planned to receive general anaesthesia \> 2h
  • Planned to receive an arterial line during surgery
  • Aim for MAP of ≥ 65 mmHg during surgery
  • Being able to give written informed consent prior to surgery

Exclusion

  • Aim for MAP other than 65 mmHg at discretion treating physician
  • Significant hypotension before surgery defined as a MAP \<65
  • Right- or left sided cardiac failure (e.g. LVEF\<35%)
  • Known cardiac shunts (significant)
  • Known aortic stenosis (severe)
  • Severe cardiac arrhythmias including atrial fibrillation
  • Requiring dialysis
  • Liver surgery with Pringle maneuver
  • Vascular surgery with clamping of the aorta

Key Trial Info

Start Date :

November 5 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

May 20 2021

Estimated Enrollment :

99 Patients enrolled

Trial Details

Trial ID

NCT04803903

Start Date

November 5 2018

End Date

May 20 2021

Last Update

July 30 2021

Active Locations (1)

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Attikon University Hospital

Athens, Attica, Greece, 12461