Perioperative medicine & outcomes

Vasopressor use after noncardiac surgery: an international observational study

Br J AnaesthPublished Prospective cohort study

Authors' conclusion

Administration of postoperative vasopressors after noncardiac surgery varied across hospitals and was associated with worse outcomes. Variable practice across hospitals could not be explained by differences in case-mix.

Study context

Population
Adults undergoing noncardiac surgery, 228 hospitals in 42 countries, October 2020–October 2023
Participants
25,675 adults · 228 hospitals · 42 countries
Exposure
Cohort A vs Cohort B
  • Cohort An = 19,768
Outcome
Incidence of postoperative vasopressor infusions (any continuous infusion of vasopressors), Cohort A
Methodological detailsinternational, multicentre
  • International
  • Multicentre

Main finding

As reported in the abstract

Postoperative vasopressor infusions (Cohort A)

Cohort A

3.9%

770 of 19 768

Vasopressor use across hospitals ranged between
0% and 18%
Median OR across hospitals
2.30 (CrI 1.96-2.73)

Observational data: associations, not effects.

Secondary outcomes

In-hospital mortality, organ failure, hospital LOS with postoperative vasopressor infusions (both cohorts)

In-hospital mortality with postoperative vasopressor infusions (higher)
15.5%
Higher rates of organ failure and longer hospital stay

Original publication

Vasopressor use after noncardiac surgery: an international observational study. Br J Anaesth. Published 11 August 2025. doi:10.1016/j.bja.2025.07.034

Composed by AI from the published abstract and checked against it. How Briefs are made →

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