Why the study?
Perioperative hypotension can lead to organ hypoperfusion and injury, making it critical to examine its relationship with adverse postoperative outcomes to optimize circulation management.
Does perioperative hypotension influence postoperative outcomes such as myocardial injury, stroke, delirium, AKI, and mortality in surgical patients?
Does perioperative hypotension influence postoperative outcomes such as myocardial injury, stroke, delirium, AKI, and mortality in surgical patients?
Perioperative hypotension is associated with severe postoperative complications, highlighting the need for individualized circulation management to improve surgical outcomes.
Perioperative hypotension risks organ injury; leaves open optimal monitoring and intervention strategies in surgical patients.
With the advancement of disease treatments, the number of patients undergoing surgery worldwide is increasing. However, many patients still experience severe perioperative complications. Perioperative hypotension is one of the common side effects during surgery. Physiologically, perioperative hypotension can lead to insufficient perfusion of important organs and result in acute and chronic irreversible organ injury, which cause serious consequences for the patient's postoperative hospitalization and even the long-term outcome. Therefore, in order to optimize perioperative circulation management and improve the quality of life for patients after surgery, it is of great importance to investigate the relationship between perioperative hypotension and postoperative myocardial injury, ischemic stroke, postoperative delirium, acute kidney injury, and postoperative mortality. Individualized circulation management and reasonable application of vasoactive drugs may be the key point to early prevention and correct treatment of perioperative hypotension, which is of great significance for reducing perioperative related morbidity and mortality and improving the prognosis for the surgical patients.
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Wang et al. (2021) studied this question.
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