Hemodynamics, fluids & transfusion

Intraoperative Hypotension Prediction: Current Methods, Controversies, and Research Outlook

Anesth AnalgPublished Narrative review

Authors' conclusion

A shift in research toward tailoring hypotension prediction methods to individual patients and pursuing methods to predict appropriate treatment in response to hypotension appear most promising to improve outcomes.

Study context

Outcome
Current intraoperative hypotension prediction methods

Main finding

As reported in the abstract

  • Methods generally rely on prevailing MAP as an important input; typically good sensitivity and specificity but low PPV for near-term acute hypotensive events
  • Prediction methods can mitigate low BP exposure time but have not been convincingly shown to improve objective outcomes

Original publication

Intraoperative Hypotension Prediction: Current Methods, Controversies, and Research Outlook. Anesth Analg. Published 23 October 2024. doi:10.1213/ane.0000000000007216

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