22,435
Participants
Start Date
January 5, 2017
Primary Completion Date
December 31, 2017
Study Completion Date
December 29, 2018
Attending real-time decision support
Near real-time decision support elements will notify the attending anesthesiologists of a blood pressure drop below the threshold for intraoperative hypotension (mean arterial pressure below 60 mmHg). The notification is presented through the pager system. The page will also display the associated increased risk of organ injury due to organ ischemia.
In-room real-time decision support
Near real-time decision support elements will notify the in-room anesthesia provider of a blood pressure drop below the threshold for intraoperative hypotension (mean arterial pressure below 60 mmHg). The notification is presented through the anesthesia information management system. The decision support system will display the associated increased risk of organ injury due to organ ischemia.
Attending feedback emails
Attending anesthesiologists will be notified through email within 24 hours after the end of an anesthetic case, when the patient had an episode of intraoperative hypotension (mean arterial pressure below 60 mmHg or lower for a particular duration) that is associated with an increased risk of organ injury due to organ ischemia.
In-room provider feedback emails
In-room anesthesia providers will be notified through email within 24 hours after the end of an anesthetic case, when the patient had an episode of intraoperative hypotension (mean arterial pressure below 60 mmHg or lower for a particular duration) that is associated with an increased risk of organ injury due to organ ischemia.
Anesthesia Information Management System (AIMS)
The anesthesia electronic record keeping system
Perioperative Data Warehouse (PDW)
The data warehouse that is used to gather perioperative data and create user reports. In this instance the PDW will be used to send the postoperative feedback emails.
General anesthesia
Any anesthetic drugs that are used to induce general anesthesia above the level of sedation.
Pager system
The mobile pager system through which alerts can be sent
Central neuraxial anesthesia
Regional anesthesia effectuated through the placement of local anesthetics around the nerves of the central nervous system, e.g. spinal anesthesia and epidural anesthesia.
Non-cardiac surgery
Any surgical intervention that is not aimed at surgical correction of the heart
Propofol
Anesthetic drug used to maintain general anesthesia
Sevoflurane
Anesthetic drug used to maintain general anesthesia
Desflurane
Anesthetic drug used to maintain general anesthesia
Isoflurane
Anesthetic drug used to maintain general anesthesia
Ephedrine
Cardiovascular drug used to treat intraoperative hypotension
Phenylephrine
Cardiovascular drug used to treat intraoperative hypotension
Norepinephrine
Cardiovascular drug used to treat intraoperative hypotension
Epinephrine
Cardiovascular drug used to treat intraoperative hypotension
Dobutamine
Cardiovascular drug used to treat intraoperative hypotension
Dopamine
Cardiovascular drug used to treat intraoperative hypotension
Isoproterenol
Cardiovascular drug used to treat intraoperative hypotension
Milrinone
Cardiovascular drug used to treat intraoperative hypotension
Atropine
Cardiovascular drugs used to treat intraoperative hypotension
Glycopyrrolate
Cardiovascular drug used to treat intraoperative hypotension
Vasopressin
Cardiovascular drug used to treat intraoperative hypotension
Terlipressin
Cardiovascular drug used to treat intraoperative hypotension
Sodium Chloride 0.9%
Intravenous fluid used to treat intraoperative hypotension
Ringer's lactate
Intravenous fluid used to treat intraoperative hypotension
Hydroxyethyl starch solutions
Intravenous fluid used to treat intraoperative hypotension
Fresh Frozen Plasma
Intravenous fluid used to treat intraoperative hypotension
Packed Red Blood Cells
Intravenous fluid used to treat intraoperative hypotension
Albumin solutions
Intravenous fluid used to treat intraoperative hypotension
Plasma-Lyte
Intravenous fluid used to treat intraoperative hypotension
Lidocaine
Local anesthetic used for central neuraxial anesthesia.
Bupivacaine
Local anesthetic used for central neuraxial anesthesia.
Levobupivacaine
Local anesthetic used for central neuraxial anesthesia.
Ropivacaine
Local anesthetic used for central neuraxial anesthesia.
Mepivacaine
Local anesthetic used for central neuraxial anesthesia.
Tetracaine
Local anesthetic used for central neuraxial anesthesia.
Prilocaine
Local anesthetic used for central neuraxial anesthesia.
Procaine
Local anesthetic used for central neuraxial anesthesia.
Chloroprocaine
Local anesthetic used for central neuraxial anesthesia.
Benzocaine
Local anesthetic used for central neuraxial anesthesia.
Articaine
Local anesthetic used for central neuraxial anesthesia.
Vanderbilt University Medical Center, Nashville
UMC Utrecht
OTHER
Vanderbilt University Medical Center
OTHER