Paediatric anaesthesia & critical care

Systemic hypotension in anaesthetised neonates, infants and children: beyond blood pressure thresholds—practical considerations

Anaesth Crit Care Pain MedPublished technical note

Study context

Population
Anaesthetised neonates, infants and children
Outcome
Blood pressure as a surrogate for cardiac output
Methodological detailscomplementary to the Professional Practice Guidelines of the SFAR-ADARPEF
  • Complementary to the Professional Practice Guidelines of the SFAR-ADARPEF

Main finding

As reported in the abstract

  • The limits of using blood pressure as a surrogate for changes in cardiac output and the variable accuracy of its non-invasive measurement are reminded

Further findings

Blood pressure thresholds

Clearcut population-based threshold values cannot be provided; adaptation based on the child's baseline blood pressure, comorbidity and surgical context is necessary
Measurement of a baseline awake blood pressure is very helpful

Management of a low intraoperative MAP

Hypotension should be confirmed by repeat measurement, simultaneous evaluation of clinical and paraclinical signs, and observation of the surgical field
Treatment adapted to the cause: anaesthetic overdose, hypovolaemia, positioning, surgical action, anaphylaxis, etc.

Original publication

Systemic hypotension in anaesthetised neonates, infants and children: beyond blood pressure thresholds—practical considerations. Anaesth Crit Care Pain Med. Published 13 October 2026. doi:10.1016/j.accpm.2026.101947

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