HPI Effect in Robotic Urological Surgery on AKI

Ewha Womans University

Status: Enrolling

Conditions: Renal Cancer; Prostate Cancer; Urologic Diseases

Treatments: Device: BP management with HPI guidance

Study type: Interventional

Funder types: Other

Identifiers

NCT06051162

2023-02-016-003

Details and patient eligibility

About

It is a single-center randomized controlled trial that aims to figure out the effect of the hypotension prediction index (HPI) on the prevention of acute kidney injury (AKI) after robot-assisted urological surgery. The primary hypothesis is that HPI software guidance prevents postoperative AKI by reducing the duration and severity of intraoperative hypotension (IOH).

Enrollment: 124 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age ≧ 19
• Patients undergoing robot-assisted urological surgery

Exclusion criteria

• Unable to voluntarily give consent
• Unable to use both radial arteries due to such reasons: prior surgery on the radial artery, breast cancer history with axillary LN dissection, AV fistula for renal replacement therapy, or abnormal Allen's test.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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124 participants in 2 patient groups

HPI

Experimental group

Description:

Managing intraoperative hemodynamic condition under the HPI guidance

Treatment:

Device: BP management with HPI guidance

Control

No Intervention group

Description:

Managing intraoperative hemodynamic condition with standard anesthesia care (blinding the HPI monitor screen)