At a glance
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Decision Support for Intraoperative Low Blood Pressure
In Brief
A clinical study evaluating Attending real-time decision support, In-room real-time decision support, and 42 other interventions for Hypotension. Completed, enrolled 22,435 participants across 1 site.
Detailed Summary
The purpose of this study is to determine whether a decision support system can improve the adherence to thresholds for low blood pressure by anesthesia providers, which in turn prevents their patients from having organ injury.
Study Details
Timeline
Interventions
Near real-time decision support elements will notify the attending anesthesiologists of a blood pressure drop below the threshold for intraoperative hypotension (mean arterial pressure below 60 mmHg). The notification is presented through the pager system. The page will also display the associated increased risk of organ injury due to organ ischemia.
Near real-time decision support elements will notify the in-room anesthesia provider of a blood pressure drop below the threshold for intraoperative hypotension (mean arterial pressure below 60 mmHg). The notification is presented through the anesthesia information management system. The decision support system will display the associated increased risk of organ injury due to organ ischemia.
Attending anesthesiologists will be notified through email within 24 hours after the end of an anesthetic case, when the patient had an episode of intraoperative hypotension (mean arterial pressure below 60 mmHg or lower for a particular duration) that is associated with an increased risk of organ injury due to organ ischemia.
In-room anesthesia providers will be notified through email within 24 hours after the end of an anesthetic case, when the patient had an episode of intraoperative hypotension (mean arterial pressure below 60 mmHg or lower for a particular duration) that is associated with an increased risk of organ injury due to organ ischemia.
The anesthesia electronic record keeping system
The data warehouse that is used to gather perioperative data and create user reports. In this instance the PDW will be used to send the postoperative feedback emails.
Any anesthetic drugs that are used to induce general anesthesia above the level of sedation.
The mobile pager system through which alerts can be sent
Regional anesthesia effectuated through the placement of local anesthetics around the nerves of the central nervous system, e.g. spinal anesthesia and epidural anesthesia.
Any surgical intervention that is not aimed at surgical correction of the heart
Anesthetic drug used to maintain general anesthesia
Anesthetic drug used to maintain general anesthesia
Anesthetic drug used to maintain general anesthesia
Anesthetic drug used to maintain general anesthesia
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drugs used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Cardiovascular drug used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Intravenous fluid used to treat intraoperative hypotension
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.
Local anesthetic used for central neuraxial anesthesia.