Hemodynamics, fluids & transfusion

PeriOperative Quality Initiative (POQI) international consensus statement on perioperative arterial pressure management

Br J AnaesthPublished Consensus statement

Methodological detailsmodified Delphi approach, international expert consensus conference
  • Modified Delphi approach
  • International expert consensus conference

Recommendations

As issued by the authors

  1. Keep intraoperative MAP ≥60 mm Hg in at-risk patients

  2. Increase MAP targets when venous or compartment pressures are elevated

  3. Treat hypotension based on presumed underlying causes

  4. When intraoperative hypertension is treated, do so carefully to avoid hypotension

  5. Consider continuous intraoperative arterial pressure monitoring; it can help reduce severity and duration of hypotension vs intermittent monitoring

  6. Postoperative hypotension is often unrecognised and might be more important than intraoperative hypotension because it is often prolonged and untreated

Original publication

PeriOperative Quality Initiative (POQI) international consensus statement on perioperative arterial pressure management. Br J Anaesth. Published 4 June 2024. doi:10.1016/j.bja.2024.04.046

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