Intraoperative hypotension during robotic-assisted radical prostatectomy: A randomised controlled trial comparing standard goal-directed fluid therapy with hypotension prediction index-guided goal-directed fluid therapy.

Journal: European journal of anaesthesiology
Published Date: Jun 10, 2025

Abstract

BACKGROUND: Robot-assisted radical prostatectomy (RARP) represents the leading application of robotic surgery in the treatment for prostate cancer with faster recovery and reduced invasiveness. Maintaining stable blood pressure during RARP is crucial to avoid complications. The approach used is goal-directed therapy (GDT); however, the Hypotension Prediction Index (HPI), a machine learning algorithm that analyses arterial waveforms, may provide additional benefits.

Authors

  • Cotoia Antonella
    From the Department of Intensive Care, University Hospital of Foggia, Foggia, Italy (CA, AD, MR, MM, GCa, RC, LM, GCi).
  • Antonello Discenza
  • Michela Rauseo
  • Mario Matella
  • Girolamo Caggianelli
  • Rossana Ciaramelletti
  • Lucia Mirabella
    Siemens Technology.
  • Gilda Cinnella

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