Postoperative blood pressure management in patients treated in the ICU after noncardiac surgery
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Postoperative blood pressure management in patients treated in the ICU after noncardiac surgery. / Briesenick, Luisa; Flick, Moritz; Saugel, Bernd.
In: CURR OPIN CRIT CARE, Vol. 27, No. 6, 01.12.2021, p. 694-700.Research output: SCORING: Contribution to journal › SCORING: Review article › Research
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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 -