Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, 20251 Hamburg, Germany.
Outcomes Research Consortium, Cleveland, OH 44195, USA.
Medicina (Kaunas). 2023 Jul 14;59(7):1299. doi: 10.3390/medicina59071299.
Hypotension can occur before, during, and after surgery and is associated with postoperative complications. Anesthesiologists should thus avoid profound and prolonged hypotension. A crucial part of avoiding hypotension is accurate and tight blood pressure monitoring. In this narrative review, we briefly describe methods for continuous blood pressure monitoring, discuss current evidence for continuous blood pressure monitoring in patients having surgery to reduce perioperative hypotension, and expand on future directions and innovations in this field. In summary, continuous blood pressure monitoring with arterial catheters or noninvasive sensors enables clinicians to detect and treat hypotension immediately. Furthermore, advanced hemodynamic monitoring technologies and artificial intelligence-in combination with continuous blood pressure monitoring-may help clinicians identify underlying causes of hypotension or even predict hypotension before it occurs.
低血压可发生在手术前、手术中和手术后，并与术后并发症有关。因此，麻醉师应避免出现深度和长时间的低血压。避免低血压的关键部分是准确和严密的血压监测。在这篇叙述性综述中，我们简要描述了连续血压监测的方法，讨论了目前在手术患者中使用连续血压监测以减少围手术期低血压的证据，并阐述了该领域的未来方向和创新。总之，使用动脉导管或无创传感器进行连续血压监测可使临床医生立即发现和治疗低血压。此外，先进的血流动力学监测技术和人工智能与连续血压监测相结合，可能有助于临床医生识别低血压的根本原因，甚至在低血压发生之前进行预测。
