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Cited by 687

The DOI matches its Crossref record; 35 of the 35 references it cites were found in a registry or an index.

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

Open access
Sessler, Daniel I., Bloomstone, Joshua A., Aronson, Solomon, Berry, Colin, Gan, Tong J., Kellum, John A., Plumb, James, Mythen, Monty G., Grocott, Michael P.W., Edwards, Mark R., Miller, Timothy E., Miller, Timothy E., Mythen, Monty G., Grocott, Michael PW., Edwards, Mark R., Ackland, Gareth L., Brudney, Charles S., Cecconi, Maurizio, Ince, Can, Irwin, Michael G., Lacey, Jonathan, Pinsky, Michael R., Sanders, Robert, Hughes, Finton, Bader, Angela, Thompson, Annemarie, Hoeft, Andreas, Williams, David, Shaw, Andrew D., Sessler, Daniel I., Aronson, Sol, Berry, Colin, Gan, Tong J., Kellum, John, Plumb, James, Bloomstone, Joshua, McEvoy, Matthew D., Thacker, Julie K.M., Gupta, Ruchir, Koepke, Elena, Feldheiser, Aarne, Levett, Denny, Michard, Frederic, Hamilton, Mark·2019·British Journal of Anaesthesia

Abstract

Background: Intraoperative mortality is now rare, but death within 30 days of surgery remains surprisingly common. Perioperative myocardial infarction is associated with a remarkably high mortality. There are strong associations between hypotension and myocardial injury, myocardial infarction, renal injury, and death. Perioperative arterial blood pressure management was thus the basis of a Perioperative Quality Initiative consensus‐building conference held in London in July 2017. Methods: The meeting featured a modified Delphi process in which groups addressed various aspects of perioperative arterial pressure. Results: Three consensus statements on intraoperative blood pressure were established. 1) Intraoperative mean arterial pressures below 60–70 mm Hg are associated with myocardial injury, acute kidney injury, and death. Injury is a function of hypotension severity and duration. 2) For adult non‐cardiac surgical patients, there is insufficient evidence to recommend a general upper limit of arterial pressure at which therapy should be initiated, although pressures above 160 mm Hg have been associated with myocardial injury and infarction. 3) During cardiac surgery, intraoperative systolic arterial pressure above 140 mm Hg is associated with increased 30 day mortality. Injury is a function of arterial pressure severity and duration. Conclusions: There is increasing evidence that even brief durations of systolic arterial pressure <100 mm Hg and mean arterial pressure <60–70 mm Hg are harmful during non‐cardiac surgery.

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Authors
Sessler, D. I., Bloomstone, J. A., Aronson, S., Berry, C., Gan, T. J., Kellum, J. A., Plumb, J., Mythen, M. G., Grocott, M. P. W., Edwards, M. R., Miller, T. E., Miller, T. E., Mythen, M. G., Grocott, M. P., Edwards, M. R., Ackland, G. L., Brudney, C. S., Cecconi, M., Ince, C., Irwin, M. G., Lacey, J., Pinsky, M. R., Sanders, R., Hughes, F., Bader, A., Thompson, A., Hoeft, A., Williams, D., Shaw, A. D., Sessler, D. I., Aronson, S., Berry, C., Gan, T. J., Kellum, J., Plumb, J., Bloomstone, J., McEvoy, M. D., Thacker, J. K. M., Gupta, R., Koepke, E., Feldheiser, A., Levett, D., Michard, F., & Hamilton, M.
Venue
British Journal of Anaesthesia
Publisher
Elsevier BV
Published
2019-05
Volume
122
Issue
5
Pages
563-574
ISSN
0007-0912 (ISSN-L)
OpenAlex
W4244788991
Cited by
687
References
35
FWCI
51.64
Type
journal article
Language
en
Open access
bronze

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CoChat. (2026). Citation check: Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery. https://app.cochat.ai/papers/10.1016/j.bja.2019.01.013
The paper
Sessler, D. I., Bloomstone, J. A., Aronson, S., Berry, C., Gan, T. J., Kellum, J. A., Plumb, J., Mythen, M. G., Grocott, M. P. W., Edwards, M. R., Miller, T. E., Miller, T. E., Mythen, M. G., Grocott, M. P., Edwards, M. R., Ackland, G. L., Brudney, C. S., Cecconi, M., Ince, C., . . . Hamilton, M. (2019). Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery. British Journal of Anaesthesia. https://doi.org/10.1016/j.bja.2019.01.013

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.