This piece looks at innovations in our field, through the lens of the Hypotension Prediction Index (HPI). Innovations in medicine are always exciting, "neuro-monitoring" is discussed "if you told me two years ago that I was going to be able to understand an EG waveform I would have laughed at you".

"Data is what drives any change", how can new insights regarding hypotension potentially revolutionize your practice? Adoption of any new technology is complicated, how do you handle resistance to such innovations? When it comes to change management, if the new change takes more than "300 seconds" then, "unless there is an emotional tug ... it is hard". The value proposition has to be strong, what's the verdict on the H.P.I. monitor?

This piece is part of our coverage of Anesthesiology 2019 at the Orange County Convention Center in Orlando. With over 14,000 delegates, clinicians, thought leaders and professionals, it's the largest gathering of Anesthesiologists and Anesthesia providers in the world.

Presented by Desiree Chappell and Sol Aronson with their guest Neal Fleming, Professor, Anesthesiology and Pain Medicine, UC Davis.