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July 14, 2023Journal of Clinical AnesthesiaOpen Access

Intraoperative hypotension in ambulatory surgery centers

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Key result

Intraoperative hypotension occurs in ~31% of patients undergoing non-cardiac ambulatory surgery.

  • n=16,750

Why the study?

The incidence of intraoperative hypotension during surgery in ambulatory surgery centers and its associated patient and procedural characteristics were not well described.

Population

16,750 patients having non-emergent, non-cardiac surgery with ASA physical status 2 through 4

Design

Retrospective analysis across 20 ASCs

Authors

WSWael SaasouhWayne State UniversityACAnna L. ChristensenCambridge Health AllianceDCDesirée ChappellNexstar Media Group (United States)

Discussion

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Implication

Hypothesis-generating for outcome impact in ambulatory centers; prospective studies needed before practice change.

Study Design

Type

Observational (n=16,750)

Multicenter

Yes

Structured PICO

P
Population
16,750 patients with ASA physical status 2 through 4 undergoing non-emergent, non-cardiac surgery across 20 ambulatory surgery centers.
O
Outcome
Incidence of intraoperative hypotension (IOH) defined as mean arterial pressure (MAP) < 65 mmHg for at least 15 cumulative minutessurrogate

Intraoperative hypotension is common during non-cardiac surgery in ambulatory surgery centers, occurring in nearly a third of cases.

Cite This Study

Saasouh et al. (2023) conducted an observational in Non-emergent, non-cardiac surgery (n=16,750). Non-emergent, non-cardiac surgery in ambulatory surgery centers was evaluated on Mean arterial pressure (MAP) < 65 mmHg for at least 15 cumulative minutes. Intraoperative hypotension (MAP <65 mmHg for ≥15 minutes) occurred in 30.9% of patients undergoing non-emergent, non-cardiac surgery in ambulatory surgery centers.

synapsesocial.com/papers/6aa944a98e04063aed255a37https://doi.org/10.1016/j.jclinane.2023.111181
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Intraoperative Hypotension and Perioperative Ischemic Stroke after General Surgery2012 · 469 citations
  2. 2Development and Evaluation of a Risk-Adjusted Measure of Intraoperative Hypotension in Patients Having Nonemergent, Noncardiac Surgery2020 · 25 citations
  3. 3Intraoperative hypotension is associated with shortened overall survival after lung cancer surgery2020 · 25 citations
  4. 4Effect of Individualized vs Standard Blood Pressure Management Strategies on Postoperative Organ Dysfunction Among High-Risk Patients Undergoing Major Surgery2017 · 952 citations
  5. 5Relationship between Intraoperative Hypotension, Defined by Either Reduction from Baseline or Absolute Thresholds, and Acute Kidney and Myocardial Injury after Noncardiac Surgery2016 · 1,140 citations