Postoperative blood pressure management in patients treated in the ICU after noncardiac surgery

TY - JOUR

T1 - Postoperative blood pressure management in patients treated in the ICU after noncardiac surgery

AU - Briesenick, Luisa

AU - Flick, Moritz

AU - Saugel, Bernd

N1 - Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

PY - 2021/12/1

Y1 - 2021/12/1

N2 - PURPOSE OF REVIEW: Blood pressure management is a cornerstone of hemodynamic management in patients treated in the ICU after noncardiac surgery. Postoperative blood pressure management is challenging, because blood pressure alterations after surgery can be profound and have numerous causes.RECENT FINDINGS: Postoperative blood pressure alterations are common in patients treated in ICUs after noncardiac surgery. There is increasing evidence that hypotension during the initial days after noncardiac surgery is associated with postoperative adverse outcomes including myocardial infarction and death, acute myocardial injury, acute kidney injury, major adverse cardiac or cerebrovascular events, and delirium. Thus, postoperative hypotension could be a modifiable risk factor for postoperative adverse outcomes. However, robust evidence for a causal relationship between postoperative blood pressure and postoperative adverse outcomes is still lacking.SUMMARY: Future research on postoperative blood pressure management in patients treated in the ICU after noncardiac surgery needs to assess whether the prevention or treatment of postoperative blood pressure alterations - especially postoperative hypotension - reduces the incidence of postoperative adverse outcomes.

AB - PURPOSE OF REVIEW: Blood pressure management is a cornerstone of hemodynamic management in patients treated in the ICU after noncardiac surgery. Postoperative blood pressure management is challenging, because blood pressure alterations after surgery can be profound and have numerous causes.RECENT FINDINGS: Postoperative blood pressure alterations are common in patients treated in ICUs after noncardiac surgery. There is increasing evidence that hypotension during the initial days after noncardiac surgery is associated with postoperative adverse outcomes including myocardial infarction and death, acute myocardial injury, acute kidney injury, major adverse cardiac or cerebrovascular events, and delirium. Thus, postoperative hypotension could be a modifiable risk factor for postoperative adverse outcomes. However, robust evidence for a causal relationship between postoperative blood pressure and postoperative adverse outcomes is still lacking.SUMMARY: Future research on postoperative blood pressure management in patients treated in the ICU after noncardiac surgery needs to assess whether the prevention or treatment of postoperative blood pressure alterations - especially postoperative hypotension - reduces the incidence of postoperative adverse outcomes.

U2 - 10.1097/MCC.0000000000000884

DO - 10.1097/MCC.0000000000000884

M3 - SCORING: Review article

C2 - 34757996

VL - 27

SP - 694

EP - 700

JO - CURR OPIN CRIT CARE

JF - CURR OPIN CRIT CARE

SN - 1070-5295

IS - 6

ER -