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The Hypotension Prediction Index in Free Flap Transplant in Head and Neck Surgery.

RECRUITINGN/ASponsored by Jakub Szrama
Actively Recruiting
PhaseN/A
SponsorJakub Szrama
Started2024-09-01
Est. completion2026-09-30
Eligibility
Age18 Years+
Healthy vol.Accepted
View on ClinicalTrials.gov →

NCT05738603

Summary

The aim of the current study is to evaluate the effects of the Hypotension Prediction Index (HPI) on the degree of intraoperative hypotension in patients undergoing free flap surgery. The hypothesis is that implementation of the HPI algorithm will reduce the time-weighted average (TWA) intraoperative hypotension below a threshold of 65 mmHg (16), and to reveal the relationship between the episodes of hypotension and free flap viability and function.

Eligibility

Age: 18 Years+Healthy volunteers accepted
Inclusion Criteria:

* Patients qualified to head and neck free flap surgery
* Written informed consent

Exclusion Criteria:

* Patients under 18 years
* Lack of health insurance
* Pregnancy
* Known history of congenital heart disease, severe aortic and/or mitral stenosis, heart failure and ejection fraction \< 35 %
* Persistent atrial fibrillation and other arrhythmias impairing arterial pressure-based cardiac output (APCO) monitoring

Conditions5

CancerHead and Neck CancerHypotensionPerioperative ComplicationPostoperative Complications

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