South West Anaesthesia Research Matrix

  SWARM

Intraoperative Hypotension in the Elderly

Intraoperative hypotension frequently occurs when patients are anaesthetised for surgery and is associated with adverse outcomes in the elderly.  Despite this, there is no widely agreed definition on what blood pressure values are actually ‘low’ and there is uncertainty over when to treat it.  iHYPE is a 2 day observational study being run locally by SWARM on behalf of RAFT.  All 15 trainee networks affiliated to RAFT will be taking part.


The primary objective of this study is to determine the proportion of elderly patients developing intraoperative hypotension, the percentage drop from baseline blood pressure and the duration of hypotension


The secondary objectives include recording adverse outcomes, identifying blood pressure thresholds triggering vasopressor use and surveying anaesthetist attitude towards intra-operative hypotension.


Please visit www.i-hype.org for more information!


This study has completed data collection and is undergoing analysis.


A HUGE thank you to everyone who took part.


Presentations

 

BJA Research Forum / ARS Spring Meeting, 5th April 2017 (abstract)

ANZCA ASM, 10th May 2017 (abstract)

Euroanaesthesia 2017, 3rd June 2017 (abstract)

 

Results

 
Hospital
Anaesthetists
Recruited
Anaesthetists
Eligible
Patients
Recruited
Patients
Eligible
Total Ops
Barnstaple
13
13
20
20
67
Derriford
42
42
56
56
219
Exeter
37
39
60
60
154
Taunton
18
22
36
37
120
Torbay
26
27
38
38
137
Truro
36
36
51
51
150
TOTALS
172
179
261
262
847
%
96%
-
99.6%
-
-
 
Hospital
Data Collection Date
 
Derriford Hospital
23rd - 24th November
 
Royal Cornwall Hospital
23rd - 24th November
 
Torbay Hospital
30th November - 1st December
 
Musgrove Park Hospital
29th - 30th November
 
North Devon District Hospital
21st - 22nd November
 
Royal Devon & Exeter Hospital
29th - 30th November
 
 

Regional Project Lead


Dr Francesca Mazzola, Royal Devon & Exeter Hospital

 

Local Trust Project Leads & Contributors

Derriford Hospital, Plymouth
Local Trust Project Contributors
Dr Tim Warrener (Local Lead)
Dr Tom Nightingale
Dr David Levy
Dr Priya Datar
Dr Gary Minto (Consultant Lead)
Dr Danny McLaughlin
Chris Rollinson (R&D)
Dr Chris Vary
Click to edit text
Dr Matthew Boyd
Royal Cornwall Hospital, Truro
Local Trust Project Contributors
Dr Steve Copplestone
Dr Ruth Creamer
Dr Sarah Cassie
Dr James Bowyer
Dr Rachel Mckinnon
Dr Carole Lennox
Dr William Jewell (Consultant Lead)
Dr Emma Endeen
Dr Juan Graterol (Consultant Lead)
Dr Iain Robinson
Alyson Andrew (R&D)
Dr Carlen Reed-Poysden
Torbay Hospital, Torquay
Local Trust Project Contributor
Dr Sarah Brown (Local Lead)
Dr Johannes Retief
Dr Tom Clark (Consultant Lead)
Dr Ben Hearne
Gabrielle De-Selincourt (R&D)
 
Musgrove Park Hospital, Taunton
 
Dr Thomas Judd (Local Lead)
Dr Christopher James
Dr Richard Innes (Consultant Lead)
Dr Jing Wang
Kate James (R&D)
Dr Kate Bell
North Devon District Hospital, Barnstaple
Local Trust Project Contributor
Dr Laura Thomson
Dr Emma Shacklock
Dr Katie Pass (Local Lead)
 
Dr Guy Rousseau (Consultant Lead)
 
Sally Tettersell (R&D)
 
Royal Devon & Exeter Hospital, Exeter
Local Trust Project Contributor
Dr Rebecca Powell (Local Lead)
Dr Francesca Mazzola
Dr Vicki Ormerod
Dr Matthew Everson
Dr Rob Price (Consultant Lead)
 
Pauline Sibley (R&D)