False positives or unrecognized physiology? A critical look at intra-operative hypotension prediction

Affiliations

¹ From the Infanta Leonor University Hospital (JR-M), Universidad Complutense de Madrid (JR-M), Fluid Therapy and Hemodynamic Monitoring, Spanish Society of Anesthesia and Critical Care (SEDAR), Madrid (JR-M, MIMG, ÁVE), Puerto Real University Hospital, Puerto Real, Spain (MIMG, ÁVE) and Froedtert Hospital. Medical College of Wisconsin, Milwaukee, USA (ÁVE).

Javier Ripollés-Melchor et al. Eur J Anaesthesiol. 2025.

. 2025 Aug 1;42(8):761-762.

doi: 10.1097/EJA.0000000000002199. Epub 2025 Jul 9.

¹ From the Infanta Leonor University Hospital (JR-M), Universidad Complutense de Madrid (JR-M), Fluid Therapy and Hemodynamic Monitoring, Spanish Society of Anesthesia and Critical Care (SEDAR), Madrid (JR-M, MIMG, ÁVE), Puerto Real University Hospital, Puerto Real, Spain (MIMG, ÁVE) and Froedtert Hospital. Medical College of Wisconsin, Milwaukee, USA (ÁVE).

No abstract available

References

1. Rellum SR, Noteboom SH, van der Ster BJP, et al. The hypotension prediction index versus mean arterial pressure in predicting intraoperative hypotension: a clinical perspective. Eur J Anaesthesiol 2025; 42:527–535.
1. Ripollés-Melchor J, Ruiz-Escobar A, Fernández-Valdes-Bango P, et al. Hypotension prediction index: from reactive to predictive hemodynamic management, the key to maintaining hemodynamic stability. Front Anesthesiol 2023; 2:1138175.
1. Mulder MP, Harmannij-Markusse M, Donker DW, et al. Is continuous intraoperative monitoring of mean arterial pressure as good as the hypotension prediction index algorithm?: research letter. Anesthesiology 2023; 138:657–658.
1. Mulder MP, Harmannij-Markusse M, Fresiello L, et al. Hypotension prediction index is equally effective in predicting intraoperative hypotension during noncardiac surgery compared to a mean arterial pressure threshold: a prospective observational study. Anesthesiology 2024; 141:453–462.