HPI Algorithm for the Prevention of IOH During Spinal Surgery [HPIFPIOH]
NCT05341167 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 85
Last updated 2025-03-19
Summary
The aim of this study is to investigate the hypothesis that the use of the Hypotension Prediction Index algorithm (HPI) can reduce intraoperative hypotension (IOH) in adult patients undergoing spinal surgery in the prone position under general anesthesia, as well as to explore its effect on in-hospital postoperative morbidity and mortality.
Conditions
- Intraoperative Hypotension
Interventions
- DEVICE
-
HPI algorithm using Edwards device https://www.edwards.com/gb/devices/decision-software/hpi
The HPI algorithm will be used in order to prevent hypotensive episodes. When the HPI is greater than 85%, the anesthesiologist will have to intervene within the next 2 minutes taking the hemodynamic parameters available into consideration, as well as the treatment protocol that has been designed according to current literature
- DRUG
-
Vasoactive Agent
Hypotensive episodes will be treated with vasoactive agents and fluids. The HPI algorithm recordings will be blinded and will not be available to the anesthesiologist for the duration of the operation.
Sponsors & Collaborators
-
Attikon Hospital
lead OTHER
Principal Investigators
-
Paraskevi Matsota, Prof · 2nd Department of Anesthesiology, Attikon University Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- TRIPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 90 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-05-11
- Primary Completion
- 2023-11-04
- Completion
- 2024-10-10
Countries
- Greece
Study Locations
More Related Trials
-
Hypotension Prediction Index (HPI) in Lung Resections
NCT06202638 ·Status: RECRUITING
-
HPI Index With GDHT in Predicting Hypotension In General Anesthesia Patients
NCT04803903 ·Status: COMPLETED
-
Hypotension Prediction Index Based Perioperative Protocolized Hemodynamic Management in Geriatric Orthopedic Surgery
NCT05274412 ·Status: UNKNOWN ·Phase: NA
-
Comparing Two Different Norepinephrine Infusion Rates for Prophylaxis Against Spinal-induced Hypotension in Elderly
NCT07077265 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Implementation of the Hypotension Probability Indicator
NCT03376347 ·Status: COMPLETED ·Phase: NA
-
The "Hypotension Prediction Index" in Patients Undergoing Lung Surgery
NCT04149314 ·Status: COMPLETED ·Phase: NA
-
Hypotension Prediction Index in Postoperative Surgical Patients
NCT05335174 ·Status: RECRUITING
-
The Hypotension Prediction Index in Free Flap Transplant in Head and Neck Surgery.
NCT05738603 ·Status: RECRUITING ·Phase: NA
-
Hypotension Prediction With HPI Algorithm During Major Gynecologic Oncologic Surgery
NCT04547491 ·Status: COMPLETED ·Phase: NA
-
Use of Hypotension Prediction Index to Reduce Intraoperative Hypotension in Major Thoracic Surgery
NCT05615168 ·Status: COMPLETED ·Phase: NA
-
Hypotension Prediction Index and Intraoperative Hypotension Incidence
NCT06909786 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
(∆PI) to Predict Post-spinal Anesthesia Hypotension
NCT06490666 ·Status: COMPLETED
-
Hypotension Predictive Index Effect on Intraoperative Hypotension During Pancreatic Surgery.
NCT06097052 ·Status: COMPLETED
-
Hypotension Prediction Index (HPI) and Assisted Fluid Management (AFM) for Perioperative Hemodynamic Optimization in Patients Under General Anesthesia
NCT07301307 ·Status: RECRUITING ·Phase: NA
-
Peripheral Perfusion Index as a Predictor of Post-spinal Hypotension in Patients Undergoing Lower Limb Surgeries
NCT07279805 ·Status: COMPLETED
-
Use of Perfusion Index Change as a Predictor of Hypotension During Propofol Sedation in Adult Patients Undergoing Hip Surgery Under Spinal Anesthesia: A Prospective Observational Study
NCT03556969 ·Status: COMPLETED
-
Prevention or Treatment of Arterial Hypotension and Oxygen Cerebral Saturation During Major Abdominal Surgery
NCT05481047 ·Status: COMPLETED ·Phase: NA
-
Perioperative Hypotension in Gynaecologic Oncologic Surgery: HPI-ClearSight Versus Arterial Waveform Analysis
NCT05354661 ·Status: COMPLETED
-
Avoiding Postinduction Hypotension: the Clinical ZERO-HYPOTENSION Proof-of-concept Study
NCT05842759 ·Status: COMPLETED ·Phase: NA
-
The Ability of Perfusion Index and Positional Perfusion Index Variation to Predict Spinal Anesthesia-induced Hypotension in Elderly Patients
NCT05259124 ·Status: COMPLETED
-
Hemodynamic Monitoring and Resuscitation in Hip Fractures
NCT03401138 ·Status: COMPLETED
-
Point of Care Ultrasound and Co-loading in Patients With Spinal-induced Hypotension and Cardiac Diseases
NCT06206434 ·Status: RECRUITING
-
Continuously Iterative Perioperative Holistic Evaluation of Risk and Hypotension Prediction Index
NCT04807036 ·Status: NOT_YET_RECRUITING
-
Internal Jugular Vein and Spinal-induced Hypotension
NCT05015218 ·Status: COMPLETED
-
Intraoperative Hypotension Predicted by Mean Arterial Pressure
NCT05147012 ·Status: COMPLETED