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| Name | Class |
|---|---|
| Societa Italiana Anestesia Analgesia Rianimazione e Terapia Intensiva | OTHER |
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Continuous non-invasive arterial pressure monitoring has the potential to decrease the duration of intraoperative hypotension and hypertension compared to conventional intermittent blood pressure monitoring. Chen et al. demonstrated using continuous non-invasive arterial pressure devices for every hour of surgery it is possible to identify an average of 14 minutes of potentially treatable hypotensive and hypertensive time(12). Whether the ability to detect more hypotension events by continuous non-invasive arterial pressure monitoring use can improve patient outcomes, is still an open research question
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| cNIBP | Experimental | Continuous non invasive blood pressure monitor (Volume clamp) |
|
| iNIBP | Active Comparator | Intermittent Non Invasive Blood Pressure (Brachial Cuff) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Continuous Non Invasive Blood Pressure Monitoring | Device | Continuous non-invasive arterial pressure monitoring |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post operative myocardial injury | The primary outcome will be the proportions of myocardial injury (Definitions: elevation of serum Troponin T (TnT) >= 30 ng/L in the first post-operative week) | 1 week |
| Measure | Description | Time Frame |
|---|---|---|
| Post operative Acute kidney injury | Proportions of postoperative AKI (Definition: increase in postoperative serum creatinine concentration during the first 7 postoperative days by more than 1.5-fold or greater than 0.3 mg/dl. Preoperative concentration was defined as the most recent recorded measurement within 30 days before the surgery) | 1 week |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| A.O.U. G.Martino - University of Messina | Messina | 98100 | Italy |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38321507 | Derived | Noto A, Chalkias A, Madotto F, Ball L, Bignami EG, Cecconi M, Guarracino F, Messina A, Morelli A, Princi P, Sanfilippo F, Scolletta S, Tritapepe L, Cortegiani A; SIAARTI Study Group. Continuous vs intermittent Non-Invasive blood pressure MONitoring in preventing postoperative organ failure (niMON): study protocol for an open-label, multicenter randomized trial. J Anesth Analg Crit Care. 2024 Feb 6;4(1):7. doi: 10.1186/s44158-024-00142-w. |
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| Intermittent Non Invasive Blood Pressure Monitoring | Device | Intermittent non-invasive arterial pressure monitoring |
|
| Post operative death | Death during postoperative hospital stay | 28 day after surgery |
| Events 30d post surgery | Any of the following events after surgery: Stroke, Non fatal cardiac arrest, AKI stage 2-3, Sepsis, Death) | 30 days after surgery |
| Events 90d post surgery | Any of the following events after surgery: Stroke, Non fatal cardiac arrest, AKI stage 2-3, Sepsis, Death) | 90 days after surgery |
| ID | Term |
|---|---|
| D011183 | Postoperative Complications |
| ID | Term |
|---|---|
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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