P88. Impact of advanced hemodynamic monitoring on postoperative complications in multilevel posterior thoracolumbar fusions

Intra-Operative Hypotension (IOH) is a widely accepted factor in triggering neuro-monitoring alerts during spinal deformity correction. Its impact on postop complications is less well studied. The Hypotension Prediction Index (HPI) uses AI to predict hypotension and its possible causes, helping the...

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Bibliographic Details
Published in:The spine journal 2024-09, Vol.24 (9), p.S105-S105
Main Authors: Carreon, Leah Yacat, Glassman, Steven D, Chappell, Desiree, Garvin, Steven, Lavelle, Anna, Gum, Jeffrey L., Djurasovic, Mladen, Saasouh, Wael
Format: Article
Language:English
Online Access:Get full text
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Summary:Intra-Operative Hypotension (IOH) is a widely accepted factor in triggering neuro-monitoring alerts during spinal deformity correction. Its impact on postop complications is less well studied. The Hypotension Prediction Index (HPI) uses AI to predict hypotension and its possible causes, helping the anesthesia team make timely decisions to administer vasopressors, inotropes or fluids. This study determines if HPI software decreases episodes of IOH resulting in a decrease in postop complications. Prospective observational cohort. Adult patients undergoing elective, multi-level posterior thoracolumbar fusion in a multisurgeon single tertiary spine institution. Incidence of Intraoperative Hypotenstion (MAP
ISSN:1529-9430
DOI:10.1016/j.spinee.2024.06.109