Hypotension prediction index smart alerts and trends to improve compliance with goal-directed hemodynamic therapy: a feasibility study.

ABSTRACT:

Background

Goal-directed hemodynamic therapy (GDHT) and Hypotension Prediction Index (HPI, Edwards Lifesciences, Irvine, CA) technology are used to improve post-operative patient outcomes. Trials evaluating GDHT are frequently limited by poor algorithm compliance. The Acumen HPI Software incorporates smart trends and alerts that highlight the probable mechanism(s) of hypotension and facilitate compliance with the GDHT algorithm. We hypothesized that prompts from the Acumen HPI Smart Alerts would improve compliance to a GDHT algorithm during moderate-to-high-risk elective noncardiac surgery.

Methods

This IRB-approved, multicenter, mixed-methods, single-arm feasibility trial included adults undergoing elective, moderate-to-high-risk noncardiac surgery requiring intra-arterial

SUBMITTER: Guerra-Londono CE 

PROVIDER: S-EPMC12482379 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature