Key result
When noninvasive and invasive blood pressure measurements differ significantly in the postoperative period, clinical decisions should generally rely on noninvasive monitoring as it establishes the preoperative baseline.
Why the study?
Hypertension is commonly encountered by anesthesiologists, but there is no clearly defined approach to monitoring and managing blood pressure in the perioperative period.
When significant discrepancies exist between invasive and non-invasive blood pressure measurements in the postoperative period, non-invasive monitoring should generally guide management to align with preoperative baseline determinations.
Answers are grounded in this paper and cite their sources.
Supports preferring noninvasive BP in postoperative discrepancies; hypothesis-generating and should not yet change practice.
Hypertension is a commonly encountered condition by anesthesiologists yet there is no clearly defined approach to monitoring and managing blood pressure in the perioperative period. In this review, we focus on common dilemmas in perioperative management of hypertensive patients including preoperative evaluation and indications for postponement of elective procedures; appraise the commonly used modes of perioperative blood pressure monitoring; discuss acute hypertension in the postoperative period and the role of blood pressure in discharge criteria for patients in the post-anesthesia care unit; and we review the relevant pathophysiology of organ perfusion in chronic hypertension and the implication for postoperative blood pressure management in hypertensive patients.
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Olga et al. (2019) conducted a review in Postoperative hypertension. Noninvasive blood pressure monitoring vs. Invasive blood pressure monitoring was evaluated. When noninvasive and invasive blood pressure measurements differ significantly in the postoperative period, clinical decisions should generally rely on noninvasive monitoring as it establishes the preoperative baseline.
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