Hypotension prediction index together with cerebral oxygenation in guiding intraoperative hemodynamic management:a case report
Yun Li1
Janet Phan2
Azaam Mamoor3
Hong Liu2
1.Department of Anesthesiology,the Second Hospital of Anhui Medical University,Hefei,Anhui 230601,China;Department of Anesthesiology and Pain Medicine,University of California Davis Health,Sacramento,CA 95817,USA2.Department of Anesthesiology and Pain Medicine,University of California Davis Health,Sacramento,CA 95817,USA3.California Northstate University College of Medicine,Sacramento,CA 95757,USA
摘要：Intraoperative hypotension happens in everyday clinical practice.It was suggested to have a strong association with adverse postoperative outcomes.Hypotension prediction index(HPI)was developed to predict intraoperative hypotension(mean arterial pressure＜65 mmHg)in real time.However,pressure autoregulation also plays an important role in maintaining adequate organ perfusion/oxygenation during hypotension.A cerebral oxygenation monitor provides clinicians with the values of organ oxygenation.We reported a case that the cerebral oxygenation monitor was used together with HPI to guide intraoperative blood pressure management.We found that cerebral oxygenation was maintained in the event of hypotension during surgery.The patient had no intraoperative or postoperative adverse outcomes despite the hypotension.We believe this can provide an individualized intraoperative blood pressure management to avoid over-or under-treating hypotension.
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分类号：R614(外科手术学)
论文发表日期：2022-01-30
在线出版日期：2025-08-15（本平台首次上网日期，不代表文献的发表时间）
页数：5( 63-67 )
英文信息