Advanced Cardiovascular Management in Major Non-cardiac Surgery.

Advanced Cardiovascular Management in Major Non-cardiac Surgery. A Single Center, Randomized, Parallel, Open Label Clinical Trial

This is a single center, randomised and controlled clinical triaI whose aim is to predict and treat in advance, intraoperative hypotension episodes.

In particular, the aim of the study is to compare the clinical impact of two different hemodynamic strategies based on the use of different monitoring platforms: the Edwards EV1000 equipped with FloTrac sensor and HemoSphere platform equipped with Acumen Hypotension Prediction Index software and Acumen IQ pressure sensor.

Inclusion Criteria:

• Informed Consent as documented by signature (Appendix Informed Consent Form)
• Age ≥ 18 years old
• Surgical indication for major NCS needing general anesthesia
• Anaesthesiologic indication for perioperative arterial cannulation and advanced hemodynamic monitoring

Exclusion Criteria:

• Informed Refusal as documented by signature (Appendix Informed Consent Form)
• Age ≤ 18 years old
• Severe aortic valvulopathy
• Atrial fibrillation