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.

Blood Pressure Management for Hypotensive Patients in Intensive Care and Perioperative Cardiovascular Settings / Kotani, Yuki; D'Andria Ursoleo, Jacopo; Murru, Carlotta Pia; Landoni, Giovanni. - In: JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA. - ISSN 1532-8422. - 38:9(2024), pp. 2089-2099. [10.1053/j.jvca.2024.04.010]

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

D'Andria Ursoleo, Jacopo
Secondo
;
Murru, Carlotta Pia
Penultimo
;
Landoni, Giovanni
Ultimo
2024-01-01

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.
2024
acute kidney injury
anesthesia
blood pressure
cardiac surgery
critical care
intensive care
mortality
vascular surgery
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/20.500.11768/165900
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