Anaesthetic drugs & techniques

Blood Pressure Targets During General Anaesthesia in High‐Risk Patients—A Randomised Clinical Feasibility Trial

Acta Anaesthesiol ScandPublished Randomised controlled trial

Authors' conclusion

While not all feasibility goals were achieved, separation in blood pressure and adherence to targets were adequate.

Study context

Population
ASA 3–5 patients scheduled for major surgery under GA, 8 hospitals in Denmarkof 1690 eligible
Participants
483 participants
Comparison
Minimum MAP target of 60, 70 or 80 mmHg, or 90% of baseline SBP, during GA
Primary endpoint
Feasibility
Methodological detailsmulticentre, factorial, feasibility
  • Multicentre
  • Factorial
  • Feasibility

Primary result

As reported in the abstract

Randomised of eligible patients, below the goal of 50%

483

29%

Secondary outcomes

OutcomeMedian difference (days) (95% CI)
DAOH · 30 daysMAP-80-mmHg vs MAP-60-mmHg−1.88 (−3.50 to −0.26)

Postoperative outcomes

No difference in most postoperative outcomes

Safety

OutcomeOR (95% CI)
AKIMAP-80-mmHg vs MAP-60-mmHg4.74 (1.17–31.8)
Cardiac arrhythmiasMAP-80-mmHg vs MAP-60-mmHg8.13 (1.35–156)

Original publication

Blood Pressure Targets During General Anaesthesia in High‐Risk Patients—A Randomised Clinical Feasibility Trial. Acta Anaesthesiol Scand. Published 11 August 2026. doi:10.1111/aas.70315

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