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Review
. 2024 Sep;38(9):2089-2099.
doi: 10.1053/j.jvca.2024.04.010. Epub 2024 Apr 10.

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

Yuki Kotani  1 , Jacopo D'Andria Ursoleo  2 , Carlotta Pia Murru  2 , Giovanni Landoni  3
Affiliations
Review

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

Yuki Kotani et al. J Cardiothorac Vasc Anesth. 2024 Sep.

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.

Keywords: acute kidney injury; anesthesia; blood pressure; cardiac surgery; critical care; intensive care; mortality; vascular surgery.

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Conflict of interest statement

Declaration of competing interest The author is a Section Editor for the Journal of Cardiothoracic and Vascular Anesthesia and was not involved in the editorial review or the decision to publish this article. The authors declare the following financial interests/personal relationships which may be considered as potential competing interests: Giovanni Landoni has received speaker fees from Medis, Paion, and Viatris and consultancy fees from Paion and Viatris.