Blood Pressure Management for Hypotensive Patients in Intensive Care and Perioperative Cardiovascular Settings
Journal of cardiothoracic and vascular anesthesia(2024)
Abstract
Blood pressure is a critical physiological parameter, particularly in the context of cardiac intensive care and perioperative settings. As a primary indicator of organ perfusion, the maintenance of adequate blood pressure is imperative for the assurance of sufficient tissue oxygen delivery. Among critically ill and major surgery patients, the continuous monitoring of blood pressure is performed as a standard practice for patients. Nonetheless, uncertainties remain regarding blood pressure goals, and there is no consensus regarding blood pressure targets. This review describes the determinants of blood pressure, examine the influence of blood pressure on organ perfusion, and synthesize the current clinical evidence from various intensive care and perioperative settings to provide a concise guidance for daily clinical practice.
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Key words
Blood pressure,Mortality,Acute kidney injury,Intensive care,Cardiac surgery,Vascular surgery,Anesthesia,Critical Care
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