Perioperative medicine & outcomes
Intraoperative hypotension during robotic-assisted radical prostatectomy: A randomised controlled trial comparing standard goal-directed fluid therapy with hypotension prediction index-guided goal-directed fluid therapy
Authors' conclusion
In our study, HPI guidance did not reduce intraoperative hypotension during RARP.
Study context
- Population
- Patients undergoing robot-assisted radical prostatectomy (RARP) under GA plus single-shot spinal technique, single-centre university hospital, January 2022 to April 2023
- Participants
- 82 patients
- Comparison
- Goal-directed therapy (GDT) protocol guided by Hypotension Prediction Index (HPI) vs GDT protocol alone
- Primary endpoint
- Cumulative amount of intraoperative hypotension (time-weighted average of mean arterial pressure (MAP) below 65 mmHg)
Methodological detailsprospective, single-centre
- Prospective
- Single-centre
Primary result
As reported in the abstract
TWA-MAP below 65 mmHg
- No differences in TWA-MAP between the groups
Further findings
Frequency and duration of hypotensive events
- No differences between the groups
Fluid infusion and vasoconstrictor administration
- Similar in both groups; both maintained stable haemodynamics with minimal hypotension
LOS
- No differences between the groups
Safety
Postoperative complications
- No differences between the groups
Original publication
Intraoperative hypotension during robotic-assisted radical prostatectomy: A randomised controlled trial comparing standard goal-directed fluid therapy with hypotension prediction index-guided goal-directed fluid therapy. Eur J Anaesthesiol. Published 9 June 2025. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →