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
Sponsors and collaborators
Jakub Szrama
Lead sponsor
Poznan University of Medical Sciences
Sponsor institution