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

被引：2

作者：

Kotani, Yuki ^{[1
,2
]}

Ursoleo, Jacopo D'Andria

Murru, Carlotta Pia

Landoni, Giovanni ^{[1
,2
,3
]}

机构：

[1] IRCCS San Raffaele Sci Inst, Dept Anesthesia & Intens Care, Milan, Italy

[2] Univ Vita Salute San Raffaele, Sch Med, Milan, Italy

[3] Kameda Med Ctr, Dept Intens Care Med, Kamogawa, Japan

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2024年 / 38卷 / 09期

关键词：

blood pressure; mortality; acute kidney injury; intensive care; cardiac surgery; vascular surgery; anesthesia; critical care; CARDIAC-SURGERY; MYOCARDIAL-INFARCTION; SEPTIC SHOCK; DOUBLE-BLIND; CARDIOTHORACIC SURGERY; NONCARDIAC SURGERY; CARDIOGENIC-SHOCK; METHYLENE-BLUE; ANGIOTENSIN-II; SEVERE SEPSIS;

D O I：

10.1053/j.jvca.2024.04.010

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

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. (c) 2024 Elsevier Inc. All rights reserved.

引用

页码：2089 / 2099

页数：11

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