Department of Anesthesiology, Erasmus MC, Rotterdam, the Netherlands.
Department of Anesthesiology, Catharina Hospital Eindhoven, Eindhoven, the Netherlands; Department of Electrical Engineering, Signal Processing, Eindhoven Technical University, Eindhoven, the Netherlands.
Br J Anaesth. 2022 Oct;129(4):464-468. doi: 10.1016/j.bja.2022.07.018. Epub 2022 Sep 3.
Intraoperative hypotension is common and is associated with adverse postoperative outcomes. A substantial fraction of all perioperative hypotension occurs shortly after induction of anaesthesia and before the procedure begins. Arterial pressure monitoring is usually intermittent in this period, with a risk of missing significant hypotensive events. Continuous blood pressure monitoring might help reduce hypotension. There are now strong arguments that if an arterial line is indicated, it should be placed before induction of anaesthesia to obtain maximal benefit.
术中低血压很常见，并且与术后不良结果有关。在麻醉诱导后开始手术前，大量的围手术期低血压发生在这个时间段。在这段时间内，动脉压监测通常是间歇性的，存在错过明显低血压事件的风险。连续血压监测可能有助于减少低血压。现在有强有力的证据表明，如果需要动脉置管，应在麻醉诱导前放置，以获得最大益处。
