AIMC Topic: Hypotension

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Domain Knowledge Inclusive Monotonic Neural Network Guides Patient-Specific Induction of General Anesthesia Dosing.

A&A practice
BACKGROUND: Postinduction hypotension is a well-known risk factor for adverse postoperative outcomes. Anesthesiologists estimate anesthetic dosages based on a patient's chart and domain knowledge. Machine learning is increasingly applied in predictin...

Intraoperative hypotension prediction in cardiac and noncardiac procedures: is HPI truly worthwhile? A systematic review and meta-analysis.

BMC anesthesiology
BACKGROUND: Intraoperative hypotension (IOH), defined as a mean arterial pressure (MAP) below 65 mmHg, is a common complication during surgery and is associated with significant postoperative morbidity, including acute kidney injury, myocardial injur...

A holistic framework for intradialytic hypotension prediction using generative adversarial networks-based data balancing.

BMC medical informatics and decision making
BACKGROUND: Intradialytic Hypotension (IDH) is a frequent complication in hemodialysis, yet predictive modeling is challenged by class imbalance. Traditional oversampling methods often struggle with complex clinical data. This study evaluates an enha...

A machine learning model to predict intradialytic hypotension in pediatric continuous kidney replacement therapy.

Pediatric nephrology (Berlin, Germany)
BACKGROUND: Intradialytic hypotension (IDH) is associated with mortality in adults undergoing intermittent hemodialysis, but this relationship is unclear in critically ill children receiving continuous kidney replacement therapy (CKRT). We aim to eva...

Machine learning-based prediction of post-induction hypotension: identifying risk factors and enhancing anesthesia management.

BMC medical informatics and decision making
BACKGROUND: Post-induction hypotension (PIH) increases surgical complications including myocardial injury, acute kidney injury, delirium, stroke, prolonged hospitalization, and endangerment of the patient's life. Machine learning is an effective tool...

Diastolic Versus Systolic or Mean Intraoperative Hypotension as Predictive of Perioperative Myocardial Injury in a White-Box Machine-Learning Model.

Anesthesia and analgesia
BACKGROUND: Intraoperative hypotension (IOH) and tachycardia are associated with perioperative myocardial injury (PMI), and thereby increased postoperative mortality. Patients undergoing vascular surgery are specifically at risk of developing cardiac...

Research on the development of an intelligent prediction model for blood pressure variability during hemodialysis.

BMC nephrology
OBJECTIVE: Blood pressure fluctuations during dialysis, including intradialytic hypotension (IDH) and intradialytic hypertension (IDHTN), are common complications among patients undergoing maintenance hemodialysis. Early prediction of IDH and IDHTN c...

Perioperative goal-directed therapy with artificial intelligence to reduce the incidence of intraoperative hypotension and renal failure in patients undergoing lung surgery: A pilot study.

Journal of clinical anesthesia
STUDY OBJECTIVE: The aim of this study was to investigate whether goal-directed treatment using artificial intelligence, compared to standard care, can reduce the frequency, duration, and severity of intraoperative hypotension in patients undergoing ...

Deep learning model to identify and validate hypotension endotypes in surgical and critically ill patients.

British journal of anaesthesia
BACKGROUND: Hypotension is associated with organ injury and death in surgical and critically ill patients. In clinical practice, treating hypotension remains challenging because it can be caused by various underlying haemodynamic alterations. We aime...

Effect of a Machine Learning-Derived Early Warning Tool With Treatment Protocol on Hypotension During Cardiac Surgery and ICU Stay: The Hypotension Prediction 2 (HYPE-2) Randomized Clinical Trial.

Critical care medicine
OBJECTIVES: Cardiac surgery is associated with perioperative complications, some of which might be attributable to hypotension. The Hypotension Prediction Index (HPI), a machine-learning-derived early warning tool for hypotension, has only been evalu...