Hemodynamics, fluids & transfusion

New-onset postoperative hypotension in patients recovering from noncardiac surgery: A prospective observational study

Eur J AnaesthesiolPublished Prospective observational study

Authors' conclusion

About 40% of our patients recovering from noncardiac surgery on general wards had at least one postoperative mean arterial pressure less than 65 mmHg, and about half of these patients had new-onset postoperative hypotension.

Study context

Population
Patients with elevated cardiovascular risk recovering on general wards from noncardiac surgery under GA, German university medical centre, October 2020–September 2021248 analysed
Participants
307 patients
Outcome
New-onset postoperative hypotension: postoperative MAP <65 mmHg and lowest postoperative MAP ≥5 mmHg below lowest pre-operative MAP (automated measurement every 30 min for about 24 h before and after surgery)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

Postoperative MAP <65 mmHg at least once

101 patients

41%

New-onset postoperative hypotension among those with MAP <65 mmHg

44 of 101

44%; 18% of all 248 patients

MAP <65 mmHg not constituting new-onset postoperative hypotension

57 of 101

56%; 23% of all 248 patients

Observational data: associations, not effects.

Further findings

Median [IQR] duration of surgery, min
62 [40 to 90]

Original publication

New-onset postoperative hypotension in patients recovering from noncardiac surgery: A prospective observational study. Eur J Anaesthesiol. Published 11 July 2025. doi:10.1097/eja.0000000000002227

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