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Hemodynamic Monitoring During Abdominal Aortic Surgery — HEMAS  

Hemodynamic Instability Clinical Trial

Official title:
INTRAOPERATIVE HEMODYNAMIC MANAGEMENT IN ABDOMINAL AORTIC SURGERY GUIDED BY HYPOTENSION PREDICTION INDEX (HPI) - HEMAS Trial

Clinical Trial Summary

This trial investigates the ability of our istitutional algorithm in maintaining a safe hemodynamics during abdominal aorta open surgery, in terms of limitation of intraoperative hypotension incidence

Clinical Trial Description

The present trial includes patients submitted to abdominal aorta open surgery. This type of procedure is very challenging for the hemodynamic management because of the operation per se (during which the surgeon clamp and unclamp the aorta with very significant hemodynamic variations) and because of the altered tone of the vessels due to the general vascular disease such a type of patients is suffering from. The aim of this study is to verify if the incidence of intraoperative hypotension in terms of severity, lasting and number of episodes, may be reduced by the application of a protocol of hemodynamic management. Primary endpoint: Global time spent in hypotension <10%. Secondary Endpoints: 1. Time Weighted Average (TWA) of Area Under the Threshold <0.4 mmHg 2. Incidence of hypotensive events/patient < 8 (including the expected hypotensive events due to the aortic clamping and unclamping) ;

Study Design

Related Conditions & MeSH terms

Clinical Trial Details
NCT number NCT05478564
Study type Observational
Source Humanitas Clinical and Research Center
Contact
Status Recruiting
Phase
Start date July 26, 2022
Completion date July 31, 2023
View Details
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