• Curr Opin Anaesthesiol · Apr 2022

    Review

    MAP 65-is it enough?

    • Yaqi Hu and Aaron Lim.
    • Virginia Commonwealth University, Department of Anesthesiology, 1250 East Marshall St, Richmond, Virginia, USA.
    • Curr Opin Anaesthesiol. 2022 Apr 1; 35 (2): 242247242-247.

    Purpose Of ReviewThe purpose of this review is to look at the current evidence on the consequences of intraoperative hypotension and discuss improvements that can be implemented for its prevention.Recent FindingsLiterature continues to supply convincing evidence that even brief periods of intraoperative hypotension are associated with increased perioperative morbidity and mortality. Recent randomized controlled trial showed intraoperative early use of vasopressor and maintaining blood pressure within tight ranges improves outcomes.SummaryThere should be a shift in paradigm in focusing on the prevention of intraoperative hypotension instead treatment. The suggested goals to help maintaining hemodynamic stability during anesthesia include ensure adequate blood pressure and flow; hypotension prevention; and ensure adequate anesthetic depth without overdose.Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.

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