The Impact of Intraoperative Haemodynamic Monitoring, Prediction of Hypotension and Goal-Directed Therapy on the Outcomes of Patients Treated with Posterior Fusion Due to Adolescent Idiopathic Scoliosis

Andrzejewska, Agata; Miegoń, Jakub; Zacha, Sławomir; Skonieczna-Żydecka, Karolina; Jarosz, Konrad; Zacha, Wojciech; Biernawska, Jowita

doi:10.3390/jcm12144571

Cited by 1 publication

(2 citation statements)

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“…Predicting hypotensive episodes may lead to preventive treatment [2, 25,52] and encourage in circumventing hypotension [47]. Recently, a new technology based on AI has shown promise in predicting hypotension.…”

Section: Detecting Intraoperative Hypotension Is It Possible?mentioning

confidence: 99%

“…Principally, in order to circumvent IOH with its cardiovascular [21] and hemodynamic [22] instability, the best practice of appropriate anesthetic management is to continuously monitor the patient's hemodynamics [23]. Unfortunately, perioperative goal directed therapy [24] and ceaseless hemodynamic monitoring [25] revealed various effects on postoperative complications [26] and failed in reducing mortality [27]. The aim of this literature review is to focus on the incidence of intraoperative hypotension and its urgency to overcome IOH perioperatively.…”

Section: Introductionmentioning

confidence: 99%

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The Incidence of Intraoperative Hypotension and the Importance of Timely Detection

Sirait

2024

IBRR

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Aims: Intraoperative hypotension (IOH) is a common condition faced by anesthesiologists intraoperatively which poignanting patients undergoing surgery under general and neuraxial anesthesia. Its occurrence is associated with dangerous morbid situations found perioperatively that can lead into fatal complications, such as acute kidney failure, direct myocardial injury, and even can end in mortality. Despite advanced closed hemodynamic monitoring and protocols utilizing goal directed therapy, recent trend of management is remaining reactive. Anesthesiologists tend to intervene when the episode of hypotension has already occurred. This literature review aimed to discuss the incidence of intraoperative hypotension and its urgency to overcome intraoperatively. Conclusion: The incidence of IOH varies based on the type of surgery, type of anesthesia and fragility of the patient, for example having comorbidities. Due to the rapid development of IOH which is unwanted, the effort reducing the hypotensive burden intraoperatively, as soon as possible is mandatory. By carefully predicting and preventing IOH through closed monitoring of patient’s blood pressure will surely improve patient outcome and prevent adverse unwanted post-operative event.

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Section: Detecting Intraoperative Hypotension Is It Possible?mentioning

confidence: 99%