Key result
Intraoperative hypotension review emphasizes looking beyond sole vasopressor use to avoid unintended patient harm.
Why the study?
Intraoperative hypotension is linked to adverse outcomes, but achieving recommended blood pressure targets presents challenges, prompting a re-evaluation of traditional management strategies.
Effective management of intraoperative hypotension requires continuous monitoring and goal-directed therapy to address the root causes of hemodynamic instability, rather than indiscriminate use of vasopressors and fluid restriction.
IOH linked to postoperative complications; leaves open optimal MAP targets for prospective trials.
Intraoperative hemodynamic instability and hypotension commonly occur in anesthetized patients and are associated with postoperative morbidity and mortality. A growing body of evidence establishes a strong correlation between intraoperative hypotension (IOH) and adverse events such as acute kidney injury (AKI), myocardial injury, postoperative cognitive dysfunction, and mortality. Recent recommendations for mean arterial pressure (MAP) maintenance above 65 mm Hg and consensus guidelines endorsing a MAP target of 60–70 mm Hg highlight the imperative for meticulous hemodynamic management. However, achieving this goal presents challenges for anesthesia clinicians. This article reviews issues with recent trends in hemodynamic monitoring and management strategies, emphasizing the importance of avoiding unintended patient harm by looking beyond traditional blood pressure management, such as relying solely on vasopressors.
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Chappell et al. (2026) conducted a review in Intraoperative hypotension. Hemodynamic monitoring and management strategies was evaluated. A review of intraoperative hypotension management emphasizes the importance of avoiding unintended patient harm by looking beyond traditional blood pressure management like relying solely on vasopressors.
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