Does intraoperative hypotension defined by relative thresholds compared to absolute thresholds better predict acute kidney and myocardial injury in patients undergoing noncardiac surgery?
Patients undergoing noncardiac surgery
Intraoperative hypotension defined by reduction from baseline (relative thresholds)
Intraoperative hypotension defined by absolute thresholds
Acute kidney and myocardial injuryhard clinical
Anesthetic management of intraoperative blood pressure can be based on absolute intraoperative pressures without regard to preoperative baseline pressure.
The associations based on relative thresholds were no stronger than those based on absolute thresholds. Furthermore, there was no clinically important interaction with preoperative pressure. Anesthetic management can thus be based on intraoperative pressures without regard to preoperative pressure.
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Vafi Salmasi
Kamal Maheshwari
Dongsheng Yang
Anesthesiology
Outcomes Research Consortium
Public Works
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Salmasi et al. (Fri,) studied this question.
www.synapsesocial.com/papers/69d6cfa63cb98036e7ab3379 — DOI: https://doi.org/10.1097/aln.0000000000001432
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