Perioperative medicine & outcomes

Blood pressure monitoring gaps in patients with left ventricular assist devices presenting for non-cardiac surgeries

J Clin AnesthPublished Retrospective cohort study

Authors' conclusion

Patients with a HM2 undergoing noncardiac surgery had nearly three-fold higher odds of blood pressure monitoring gaps of 10 min or greater compared to patients with a HM3.

Study context

Population
Patients with left ventricular assist devices (LVAD) undergoing noncardiac surgery without arterial lines at induction (noninvasive blood pressure (NIBP) monitoring), academic university hospital
Participants
115 patients · 187 noncardiac surgeries
Exposure
HM3 vs HM2 LVAD
Outcome
Association of BP monitoring gaps (≥10 min) with LVAD type, multivariable logistic regression
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

  • HM3 vs HM2: P = 0.02

Observational data: associations, not effects.

Further findings

Monitoring gaps by other factors

Higher odds of monitoring gap with morbid obesity
P = 0.04
Higher odds of monitoring gap with surgical duration >180 min
P = 0.001

Arterial line placement after induction (post-hoc analysis)

Morbid obesity associated with increased odds
P = 0.05
GA associated with increased odds
P = 0.007
Prolonged surgery associated with increased odds
P < 0.001
  • Post-hoc analysis

Original publication

Blood pressure monitoring gaps in patients with left ventricular assist devices presenting for non-cardiac surgeries. J Clin Anesth. Published 24 July 2024. doi:10.1016/j.jclinane.2024.111561

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.