Hemodynamics, fluids & transfusion
Impact of clinicians’ behavior, an educational intervention with mandated blood pressure and the hypotension prediction index software on intraoperative hypotension: a mixed methods study
Authors' conclusion
Clinicians believed they had sufficient knowledge and skills, which could explain why no difference was found after the educational intervention. In the HPI cohort, IOH was significantly reduced compared to baseline, therefore HPI-software may help prevent IOH.
Study context
- Population
- Elective major surgical patients requiring invasive BP monitoring; clinicians (interviews, questionnaires)patients in three cohorts
- Participants
- 150 patients
- Comparison
- Baseline vs Education vs HPI
- Outcome
- Clinicians' beliefs regarding IOH and barriers to its treatment
Methodological detailsstructured interviews, questionnaires, three sequential cohorts
- Structured interviews
- Questionnaires
- Three sequential cohorts
Main finding
As reported in the abstract
Clinicians' beliefs and barriers to IOH treatment
- Clinicians felt challenged to manage intraoperative hypotension (IOH) in some patients, yet reported sufficient knowledge and skills
- HPI-software considered useful and beneficial
- 27 interviews, 84 questionnaires, 14 HPI questionnaires
Further findings
Time-weighted average of hypotension (MAP < 65 mmHg) — HPI vs Baseline · significantly lower
P < 0.05
| Outcome | P value |
|---|---|
| Time-weighted average of hypotension (MAP < 65 mmHg)HPI vs Education · significantly lower | P < 0.05 |
Incidence of IOH (mean arterial pressure (MAP) < 65 mmHg)
- No difference between cohorts
Time-weighted average of hypotension (MAP < 65 mmHg)
- Comparable between baseline and education cohort
Original publication
Impact of clinicians’ behavior, an educational intervention with mandated blood pressure and the hypotension prediction index software on intraoperative hypotension: a mixed methods study. J Clin Monit Comput. Published 19 December 2023. doi:10.
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