Open AccessHypotension prediction index together with cerebral oxygenation in guiding intraoperative hemodynamic management: a case report
Author(s) -
Yun Li,
Janet Phan,
Azaam Mamoor,
Hong Liu
Publication year - 2022
Publication title -
journal of biomedical research/journal of biomedical research
Language(s) - English
Resource type - Journals
eISSN - 2352-4685
pISSN - 1674-8301
DOI - 10.7555/jbr.36.20210164
Subject(s) - medicine , oxygenation , anesthesia , cerebral perfusion pressure , blood pressure , hemodynamics , cerebral autoregulation , mean arterial pressure , autoregulation , perfusion , adverse effect , cerebral blood flow , cardiology , heart rate
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.