Hemodynamics, fluids & transfusion
PeriOperative Quality Initiative (POQI) international consensus statement on perioperative arterial pressure management
Methodological detailsmodified Delphi approach, international expert consensus conference
- Modified Delphi approach
- International expert consensus conference
Recommendations
As issued by the authors
Keep intraoperative MAP ≥60 mm Hg in at-risk patients
Increase MAP targets when venous or compartment pressures are elevated
Treat hypotension based on presumed underlying causes
When intraoperative hypertension is treated, do so carefully to avoid hypotension
Consider continuous intraoperative arterial pressure monitoring; it can help reduce severity and duration of hypotension vs intermittent monitoring
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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