The Hypotension Prediction Index in Major Abdominal Surgery

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-80
SponsorJakub Szrama

About this trial

The goal of this randomized clinical trial is to compare different types of advanced hemodynamic monitoring in patients undergoing major abdominal surgery.

Participants undergoing major abdominal surgery will receive anesthesia with two different types of hemodynamic monitoring - group A will receive arterial pressure cardiac output algorithm with the FloTrac sensor and group B will receive hemodynamic monitoring with the Hypotension Prediction Index.

The main question the study aims to answer is:

• will the hypotension prediction index algorithm reduce the rate of hypotension in comparison to arterial pressure cardiac output algorithm.

Eligibility criteria

Qualifiers

Patients qualified for elective major abdominal surgery, defined as an expected duration of more than two hours, an estimated blood loss of >15% of blood volume, or an expected transfusion requirement of at least two packed red blood cells with general or combined anaesthesia.

Patients with American Society of Anesthesiologists (ASA) status III or IV.

Written informed consent.

Disqualifiers

Patients under 18 years

Lack of health insurance

Pregnancy

Known history of congenital heart disease, severe aortic and/or mitral stenosis, heart failure and ejection fraction < 35 %

Trial design

Treatments tested in this trial

  • Hypotension Prediction Index Hemodynamic Monitoring

Treatment groups

226 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Jakub Szrama

Lead sponsor

Poznan University of Medical Sciences

Sponsor institution