Mitigating Intraoperative Hypotension: A Review and Update on Recent Advances.

Anesthesia Hemodynamic instability Intraoperative hypotension Medical innovation Monitoring Postoperative outcomes Prevention Technology

Journal

Advances in anesthesia
ISSN: 1878-0415
Titre abrégé: Adv Anesth
Pays: United States
ID NLM: 8409340

Informations de publication

Date de publication:
Dec 2024
Historique:
medline: 24 10 2024
pubmed: 24 10 2024
entrez: 23 10 2024
Statut: ppublish

Résumé

Intraoperative hypotension (IOH) is a common occurrence during anesthesia administration for various surgical procedures and is linked to postoperative adverse outcomes. Factors contributing to IOH include hypovolemia, vasodilation, and impaired contractility, often combined with patient comorbidities. Strategies for mitigating IOH have been developed and are continually being updated with new research and technological advancements. These strategies include personalized blood pressure thresholds, pharmacologic measures, and the use of predictive tools. However, the management of IOH also requires careful consideration of patient-specific comorbidities and the use of appropriate treatment options.

Identifiants

pubmed: 39443051
pii: S0737-6146(24)00006-6
doi: 10.1016/j.aan.2024.07.006
pii:
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

67-84

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Déclaration de conflit d'intérêts

Disclosure W. Saasouh: Received a one-time consulting payment as an Advisory Board member for Edwards Lifesciences (ended 2022). Advisory adjudication committee member for Takeda Pharmaceuticals. Scientific Research Committee chair for Doc2Doc Lending Inc. Founding CEO of Ether Innovations LLC. N. Manafi, A. Manzoor, G. McKelvey: These authors have nothing to disclose.

Auteurs

Wael Saasouh (W)

Department of Anesthesiology, Wayne State University School of Medicine, 42 West Warren Avenue, Detroit, MI 48201, USA; NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA; Outcomes Research Consortium, Cleveland, OH, USA. Electronic address: wsaasouh@dmc.org.

Navid Manafi (N)

NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA.

Asifa Manzoor (A)

NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA.

George McKelvey (G)

NorthStar Anesthesia, 6255 State Highway 161 #200, Irving, TX 75038, USA.

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Classifications MeSH