Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery

British Journal of Anaesthesia

Volumn 122, Issue 5, 2019, Pages 563-574

  Sessler, Daniel I ^a,k   Bloomstone, Joshua A ^b,c,d,k   Aronson, Solomon ^e,k   Berry, Colin ^f,k   Gan, Tong J ^g,k   Kellum, John A ^h,k   Plumb, James ^j,k   Mythen, Monty G ^c,i,k   Grocott, Michael P W ^c,j,k   Edwards, Mark R ^j,k   Miller, Timothy E ^c,e,k   Brudney, Charles S ^k   Cecconi, Maurizio ^k   Ince, Can ^k   Irwin, Michael G ^k   Lacey, Jonathan ^k   Pinsky, Michael R ^k   Sanders, Robert ^k   Hughes, Finton ^k   Bader, Angela ^k   Thompson, Annemarie ^k   Hoeft, Andreas ^k   Williams, David ^k   Shaw, Andrew D ^k   McEvoy, Matthew D ^k   Feldheiser, Aarne ^k   Levett, Denny ^k   Michard, Frederic ^k   Hamilton, Mark ^k   Thacker, Julie K M ^k   Gupta, Ruchir ^k   Koepke, Elena ^k   more..

^a LERNER RESEARCH INSTITUTE   (United States)

^b UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE   (United States)

^c UNIVERSITY COLLEGE LONDON   (United Kingdom)

^d Envision Physician Services   (United States)

^e DUKE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^f ROYAL DEVON AND EXETER NHS FOUNDATION TRUST   (United Kingdom)

^g STONY BROOK UNIVERSITY   (United States)

^h UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE   (United States)

ⁱ UNIVERSITY COLLEGE LONDON HOSPITALS   (United Kingdom)

^j UNIVERSITY HOSPITAL SOUTHAMPTON NHS FOUNDATION TRUST   (United Kingdom)

^k NONE

more..

Author keywords

anaesthesia; arterial pressure; hypotension; mortality; myocardial injury; postoperative outcome; renal injury; surgery

Indexed keywords

TROPONIN;

ACUTE KIDNEY FAILURE; ADULT; ADVERSE OUTCOME; ARTICLE; BLOOD PRESSURE VARIABILITY; CARDIOVASCULAR MORTALITY; CLINICAL OUTCOME; COHORT ANALYSIS; CONSENSUS; DEATH; DELPHI STUDY; DISEASE DURATION; DISEASE SEVERITY; ELECTIVE SURGERY; HEART INFARCTION; HEART MUSCLE INJURY; HEART SURGERY; HUMAN; HYPERTENSION; HYPOTENSION; INTRAOPERATIVE MONITORING; MEAN ARTERIAL PRESSURE; PERIOPERATIVE PERIOD; PRIORITY JOURNAL; SURGICAL PATIENT; SURGICAL RISK; SYSTOLIC BLOOD PRESSURE; TACHYCARDIA; BLOOD PRESSURE; COMPLICATION; CONSENSUS DEVELOPMENT; PATHOPHYSIOLOGY; PEROPERATIVE COMPLICATION; PHYSIOLOGY; POSTOPERATIVE COMPLICATION; PROCEDURES;

ACUTE KIDNEY INJURY; BLOOD PRESSURE; ELECTIVE SURGICAL PROCEDURES; HUMANS; HYPOTENSION; INTRAOPERATIVE COMPLICATIONS; MONITORING, INTRAOPERATIVE; MYOCARDIAL INFARCTION; POSTOPERATIVE COMPLICATIONS;

EID: 85061441127     PISSN: 00070912     EISSN: 14716771     Source Type: Journal    
DOI: 10.1016/j.bja.2019.01.013     Document Type: Article

References (42)

1. Li, G., Warner, M., Lang, B.H., Huang, L., Sun, L.S., Epidemiology of anesthesia-related mortality in the United States, 1999–2005. Anesthesiology 110 (2009), 759–765.
2. Pearse, R.M., Moreno, R.P., Bauer, P., et al. Mortality after surgery in Europe: a 7 day cohort study. Lancet 380 (2012), 1059–1065.
3. Li, D., Bohringer, C., Liu, H., What is “normal” intraoperative blood pressure and do deviations from it really affect postoperative outcome?. J Biomed Res 31 (2017), 79–81.
4. Chilkoti, G., Wadhwa, R., Saxena, A.K., Technological advances in perioperative monitoring: current concepts and clinical perspectives. J Anaesthesiol Clin Pharmacol 31 (2015), 14–24.
5. Ackland, G.L., Brudney, C.S., Cecconi, M., et al. Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine. Br J Anaesth 122 (2019), 542–552.
6. Sanders, R.D., Hughes, F., Shaw, A., et al. Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk, and outcomes for elective surgery. Br J Anaesth 122 (2019), 552–562.
7. McEvoy, M.D., Gupta, R., Koepke, E.J., et al. Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery. Br J Anaesth 122 (2019), 575–586.
8. Miller, T.E., Shaw, A.D., Mythen, M.G., Gan, T.J., Evidence-based perioperative medicine comes of age: the Perioperative Quality Initiative (POQI). Periop Med, 5, 2016, 26.
9. Gan, T.J., Scott, M., Thacker, J., Hedrick, T., Thiele, R.H., Miller, T.E., American Society for Enhanced Recovery: advancing enhanced recovery and perioperative medicine. Anesth Analg 126 (2018), 1870–1873.
10. Kellum, J.A., Bellomo, R., Ronco, C., Acute Dialysis Quality Initiative (ADQI): methodology. Int J Artif Organs 31 (2008), 90–93.
11. Bijker, J.B., van Klei, W.A., Kappen, T.H., van Wolfswinkel, L., Moons, K.G.M., Kalkman, C.J., Incidence of intraoperative hypotension as a function of the chosen definition: literature definitions applied to a retrospective cohort using automated data collection. Anesthesiology 107 (2007), 213–220.
12. White, S.M., Moppett, I.K., Griffiths, R., et al. Secondary analysis of outcomes after 11,085 hip fracture operations from the prospective UK Anaesthesia Sprint Audit of Practice (ASAP-2). Anaesthesia 71 (2016), 506–514.
13. Mascha, E.J., Yang, D., Weiss, S., Sessler, D.I., Intraoperative mean arterial pressure variability and 30-day mortality in patients having noncardiac surgery. Anesthesiology 123 (2015), 79–91.
14. Walsh, M., Devereaux, P.J., Garg, A.X., et al. Relationship between intraoperative mean arterial pressure and clinical outcomes after noncardiac surgery: toward an empirical definition of hypotension. Anesthesiology 119 (2013), 507–515.
15. Abbott, T.E.F., Pearse, R.M., Archbold, R.A., et al. A prospective international multicentre cohort study of intraoperative heart rate and systolic blood pressure and myocardial injury after noncardiac surgery: results of the VISION study. Anesth Analg 126 (2018), 1936–1946.
16. Stapelfeldt, W.H., Yuan, H., Dryden, J.K., et al. The SLUScore: a novel method for detecting hazardous hypotension in adult patients undergoing noncardiac surgical procedures. Anesth Analg 124 (2017), 1135–1152.
17. Salmasi, V., Maheshwari, K., Yang, D., et al. Relationship between intraoperative hypotension, defined by either reduction from baseline or absolute thresholds, and acute kidney and myocardial injury after noncardiac surgery: a retrospective cohort analysis. Anesthesiology 126 (2017), 47–65.
18. Maheshwari, K., Turan, A., Mao, G., et al. The association of hypotension during non-cardiac surgery, before and after skin incision, with postoperative acute kidney injury: a retrospective cohort analysis. Anaesthesia 73 (2018), 1223–1228.
19. Roshanov, P.S., Rochwerg, B., Patel, A., et al. Withholding versus continuing angiotensin-converting enzyme inhibitors or angiotensin II receptor blockers before noncardiac surgery: an analysis of the Vascular events in noncardiac Surgery patIents cOhort evaluatioN Prospective Cohort. Anesthesiology 126 (2017), 16–27.
20. Ruetzler, K., Yilmaz, H.O., Turan, A., et al. Intraoperative tachycardia is not associated with a composite of myocardial injury and mortality after non-cardiac surgery: a retrospective cohort analysis. Eur J Anaesthesiol 36 (2019), 105–113.
21. Reich, D.L., Bennett-Guerrero, E., Bodian, C.A., Hossain, S., Winfree, W., Krol, M., Intraoperative tachycardia and hypertension are independently associated with adverse outcome in noncardiac surgery of long duration. Anesth Analg 95 (2002), 273–277.
22. Sessler, D.I., Meyhoff, C.S., Zimmerman, N.M., et al. Period-dependent associations between hypotension during and for four days after noncardiac surgery and a composite of myocardial infarction and death: a substudy of the POISE-2 trial. Anesthesiology 128 (2018), 317–327.
23. Futier, E., Lefrant, J.-Y., Guinot, P.-G., et al. Effect of individualized vs standard blood pressure management strategies on postoperative organ dysfunction among high-risk patients undergoing major surgery. JAMA, 318, 2017, 1346.
24. Panjasawatwong, K., Sessler, D.I., Stapelfeldt, W.H., et al. A randomized trial of a supplemental alarm for critically low systolic blood pressure. Anesth Analg 121 (2015), 1500–1507.
25. Wu, X., Jiang, Z., Ying, J., Han, Y., Chen, Z., Optimal blood pressure decreases acute kidney injury after gastrointestinal surgery in elderly hypertensive patients: a randomized study. J Clin Anesth 43 (2017), 77–83.
26. de Graaff, J.C., Pasma, W., van Buuren, S., et al. Reference values for noninvasive blood pressure in children during anesthesia: a multicentered retrospective observational cohort study. Anesthesiology 125 (2016), 904–913.
27. Regenbogen, S.E., Ehrenfeld, J.M., Lipsitz, S.R., Greenberg, C.C., Hutter, M.M., Gawande, A.A., Utility of the surgical Apgar score: validation in 4119 patients. Arch Surg 144 (2009), 30–36 discussion 7.
28. van Waes, J.A.R., van Klei, W.A., Wijeysundera, D.N., van Wolfswinkel, L., Lindsay, T.F., Beattie, W.S., Association between intraoperative hypotension and myocardial injury after vascular surgery. Anesthesiology 124 (2016), 35–44.
29. Chobanian, A.V., Bakris, G.L., Black, H.R., et al. Joint National committee on prevention, detection, evaluation, and treatment of high blood pressure. National heart, lung, and blood Institute; National high blood pressure education program coordinating committee. Hypertension 42 (2003), 1206–1252.
30. Charlson, M.E., MacKenzie, C.R., Gold, J.P., Ales, K.L., Topkins, M., Shires, G.T., Intraoperative blood pressure. What patterns identify patients at risk for postoperative complications?. Ann Surg 212 (1990), 567–580.
31. Monk, T.G., Bronsert, M.R., Henderson, W.G., et al. Association between intraoperative hypotension and hypertension and 30-day postoperative mortality in noncardiac surgery. Anesthesiology 123 (2015), 307–319.
32. Davis, M.J., Menon, B.K., Baghirzada, L.B., et al. Anesthetic management and outcome in patients during endovascular therapy for acute stroke. Anesthesiology 116 (2012), 396–405.
33. Basali, A., Mascha, E.J., Kalfas, I., Schubert, A., Relation between perioperative hypertension and intracranial hemorrhage after craniotomy. Anesthesiology 93 (2000), 48–54.
34. Levin, M.A., Fischer, G.W., Lin, H.M., McCormick, P.J., Krol, M., Reich, D.L., Intraoperative arterial blood pressure lability is associated with improved 30 day survival. Br J Anaesth 115 (2015), 716–726.
35. Aronson, S., Stafford-Smith, M., Phillips-Bute, B., et al. Intraoperative systolic blood pressure variability predicts 30-day mortality in aortocoronary bypass surgery patients. Anesthesiology 113 (2010), 305–312.
36. Aronson, S., Dyke, C.M., Stierer, K.A., et al. The ECLIPSE trials: comparative studies of clevidipine to nitroglycerin, sodium nitroprusside, and nicardipine for acute hypertension treatment in cardiac surgery patients. Anesth Analg 107 (2008), 1110–1121.
37. Nikolov, N.M., Fontes, M.L., White, W.D., et al. Pulse pressure and long-term survival after coronary artery bypass graft surgery. Anesth Analg 110 (2010), 335–340.
38. Aboyans, V., Frank, M., Nubret, K., Lacroix, P., Laskar, M., Heart rate and pulse pressure at rest are major prognostic markers of early postoperative complications after coronary bypass surgery. Eur J Cardio-thorac Surg 33 (2008), 971–976.
39. Fontes, M.L., Aronson, S., Mathew, J.P., et al. Pulse pressure and risk of adverse outcome in coronary bypass surgery. Anesth Analg 107 (2008), 1122–1129.
40. Abbott, T.E., Ackland, G.L., Archbold, R.A., et al. Preoperative heart rate and myocardial injury after non-cardiac surgery: results of a predefined secondary analysis of the VISION study. Br J Anaesth 117 (2016), 172–181.
41. Sun, L.Y., Wijeysundera, D.N., Tait, G.A., Beattie, W.S., Association of intraoperative hypotension with acute kidney injury after elective noncardiac surgery. Anesthesiology 123 (2015), 515–523.
42. Heyer, E.J., Mergeche, J.L., Anastasian, Z.H., Kim, M., Mallon, K.A., Connolly, E.S., Arterial blood pressure management during carotid endarterectomy and early cognitive dysfunction. Neurosurgery 74 (2014), 245–251.