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.
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.
Study Type
OBSERVATIONAL
Enrollment
30
Patients will be placed on this monitor for the duration of study in the PACU. Followed by 30-day phone call to record cardiovascular complications.
Jewish General Hospital, Anesthesia Department
Montreal, Quebec, Canada
RECRUITINGIncidence of intraoperative hypotension
Describe the incidence of hypotension defined as MAP \<65 intraoperatively.
Time frame: in 12 months
Incidence of postoperative hypotension
Describe the incidence of postoperative hypotension defined as MAP \<65 in the PACU
Time frame: in 12 months
Hemodynamic changes with treatment of hypotension
Described the changes in cardiac index with each medical treatment of a hypotensive episode.
Time frame: in 12 months
Sensitivity and Specificity of HPI
Sensitivity and Specificity of HPI compared to a hypotensive events in the postoperative setting
Time frame: in 12 months
Cardiovascular outcomes
Number of patients with Mortality, MI, MINS, acute pulmonary edema, stroke, pulmonary embolism, deep vein thrombosis
Time frame: in 12 months
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