Blood Pressure Management for Hypotensive Patients in

J. Cardiothorac. Vasc. Anesth. · Sep 2024

Review

Blood Pressure Management for Hypotensive Patients in Intensive Care and Perioperative Cardiovascular Settings.

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. ⋯ 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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- Yuki Kotani, Jacopo D'Andria Ursoleo, Carlotta Pia Murru, and Giovanni Landoni.
- Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy; School of Medicine, Vita-Salute San Raffaele University, Milan, Italy; Department of Intensive Care Medicine, Kameda Medical Center, Kamogawa, Japan.
- J. Cardiothorac. Vasc. Anesth. 2024 Sep 1; 38 (9): 208920992089-2099.
AbstractBlood 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.Copyright © 2024 Elsevier Inc. All rights reserved.

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Blood Pressure Management for Hypotensive Patients in Intensive Care and Perioperative Cardiovascular Settings.

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