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Peer-reviewedCC BY-NC-ND 4.0Perioperative Medicine

Navigating intraoperative hypotension: rethinking traditional management for improved patient outcomes

  • Desiree’ Chappell1
  • Ken Taylor2
  • Katie Woodfin3
  • Ryan Richey3
  • Susan McMullan3
  • Kesha Thurston3,4
  • Mandy Waguespack3
  • Amy Yerdon3
4 affiliations
  1. 1Clinical Quality for Northstar Anesthesia, Louisville, KY USA
  2. 2Carolina Centers of Oral and Facial Surgery, Greenville, SC USA
  3. 3School of Nursing, University of Alabama at Birmingham, Birmingham, AL USA
  4. 4University of Alabama at Birmingham (UAB) Hospital, Birmingham, AL USA
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Abstract

Intraoperative hemodynamic instability and hypotension commonly occur in anesthetized patients and are associated with postoperative morbidity and mortality. A growing body of evidence establishes a strong correlation between intraoperative hypotension (IOH) and adverse events such as acute kidney injury (AKI), myocardial injury, postoperative cognitive dysfunction, and mortality. Recent recommendations for mean arterial pressure (MAP) maintenance above 65 mm Hg and consensus guidelines endorsing a MAP target of 60–70 mm Hg highlight the imperative for meticulous hemodynamic management. However, achieving this goal presents challenges for anesthesia clinicians. This article reviews issues with recent trends in hemodynamic monitoring and management strategies, emphasizing the importance of avoiding unintended patient harm by looking beyond traditional blood pressure management, such as relying solely on vasopressors.

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Cite

BibTeXRIS
BibTeX
@article{chappell2026navigating,
  title = {{Navigating intraoperative hypotension: rethinking traditional management for improved patient outcomes}},
  author = {Desiree’ Chappell and Ken Taylor and Katie Woodfin and Ryan Richey and Susan McMullan and Kesha Thurston and Mandy Waguespack and Amy Yerdon},
  journal = {Perioperative Medicine},
  year = {2026},
  month = aug,
  doi = {10.1186/s13741-026-00726-w},
  url = {https://doi.org/10.1186/s13741-026-00726-w},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Navigating intraoperative hypotension: rethinking traditional management for improved patient outcomes
AU  - Desiree’ Chappell
AU  - Ken Taylor
AU  - Katie Woodfin
AU  - Ryan Richey
AU  - Susan McMullan
AU  - Kesha Thurston
AU  - Mandy Waguespack
AU  - Amy Yerdon
PY  - 2026
DA  - 2026/08/07
JO  - Perioperative Medicine
DO  - 10.1186/s13741-026-00726-w
UR  - https://doi.org/10.1186/s13741-026-00726-w
AB  - Intraoperative hemodynamic instability and hypotension commonly occur in anesthetized patients and are associated with postoperative morbidity and mortality. A growing body of evidence establishes a strong correlation between intraoperative hypotension (IOH) and adverse events such as acute kidney injury (AKI), myocardial injury, postoperative cognitive dysfunction, and mortality. Recent recommendations for mean arterial pressure (MAP) maintenance above 65 mm Hg and consensus guidelines endorsing a MAP target of 60–70 mm Hg highlight the imperative for meticulous hemodynamic management. However, achieving this goal presents challenges for anesthesia clinicians. This article reviews issues with recent trends in hemodynamic monitoring and management strategies, emphasizing the importance of avoiding unintended patient harm by looking beyond traditional blood pressure management, such as relying solely on vasopressors.
SN  - 2047-0525
ER  -