Hemodynamics, fluids & transfusion

Intraoperative Hypotension and Vasoactive Treatment: An International Survey of Anaesthesiologists

Acta Anaesthesiol ScandPublished Cross-sectional study

Authors' conclusion

In this international survey, mean arterial pressures of 60 or 65 mmHg were the most commonly reported blood pressure thresholds leading to initiation of treatment with vasoactive agents.

Study context

Population
Anaesthesiologists who regularly anaesthetise adult patients, 11 European countriesresponse rate 22.7%
Participants
1,640 participants
Outcome
Intraoperative BP management practice and opinion
Methodological detailsinternational online survey, Checklist for Reporting of Survey Studies (CROSS) checklist reporting
  • International online survey
  • CROSS checklist reporting

Main finding

As reported in the abstract

Specialists
1322 of 1640, 80.6%, 95% CI 78.7-82.6
Working in public hospitals
1613 of 1640, 98.4%
Absolute MAP as main unit to quantify hypotension
1098 of 1640, 67.0%, 95% CI 64.6-69.2
Willing to randomise patients to specific BP targets
1509 of 1640, 92.0%
Lowest acceptable MAP for randomisation 60 mmHg
72.9% (1196 of 1640)
Most sought-after comparison phenylephrine vs noradrenaline
1252 of 1640, 76.3%

Observational data: associations, not effects.

Original publication

Intraoperative Hypotension and Vasoactive Treatment: An International Survey of Anaesthesiologists. Acta Anaesthesiol Scand. Published 3 February 2026. doi:10.1111/aas.70197

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