Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
Major Scope
- Otolaryngology - Head and Neck Surgery
- Plastic Surgery
- Orthopaedic Surgery
- Obstetrics Surgery
- Minimally Invasive Surgery
- Ophthalmic Surgery
- Colon and Rectal Surgery
- Gastroenterological Surgery
Abstract
Citation: Clin Surg. 2021;6(1):3127.Research Article | Open Access
Research Progress on Target Control of Perioperative Blood Pressure in Adults
Jianfeng L and Zongming J*
Department of Anesthesiology, Shaoxing People?s Hospital, China
*Correspondance to: Jiang Zongming
PDF Full Text DOI: 10.25107/2474-1647.3127
Abstract
Intraoperative hypotension frequently occurs and is an essential trigger of postoperative organ dysfunction and surgical patients? mortality. This review was to investigate recent literature regarding to the level of perioperative blood pressure control and its relationship with organ injury after surgery. Guiding blood pressure management and ameliorating complications in surgical patients. There is a lack of uniform definition or guidelines regarding blood pressure targets to ensure patient safety. Learning the dynamic nature of blood pressure may give more insight into the mechanism for adverse events and provide optimal intraoperative targets. The goal of blood pressure targets titration is to maintain organ perfusion and optimize the microcirculation - which, therefore, benefits patients? prognosis and outcome. The available evidence suggests that targeting a Mean Arterial Pressure (MAP) of above 65 mmHg (1 mmHg = 0.133 kPa) in a surgical patient without preexisting risk factors is a reasonable threshold. In patients with comorbid conditions, blood pressure management should be individually tailored to an optimal level considering physiology and the clinical situation. Personalized blood pressure management according to individual physiology and particular clinical situation may reduce postoperative organ dysfunction in surgical patients. A magnitude of ? 20% ? 10% fluctuation based on baseline blood pressure is an optimal blood pressure target for high risk patients. A sensitive biomarker in reflecting optimal blood pressure target and organ ischemic injury threshold helps blood pressure management.
Keywords
Peri-operation; Blood pressure; Personalized; Target
Cite the article
Jianfeng L, Zongming J. Research Progress on Target Control of Perioperative Blood Pressure in Adults. Clin Surg. 2021; 6: 3127..
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