Hypotension following induction to general anaesthesia: prevalence, significance, risk factors and preventive management options

Czech version

Authors: O. Jor ^1,5; J. Divák ¹; V. Černý ^2,3,4,5
Authors‘ workplace: Klinika anesteziologie, resuscitace a intenzivní medicíny, Fakultní nemocnice Ostrava ¹; Klinika anesteziologie, perioperační a intenzivní medicíny, Univerzita J. E. Purkyně v Ústí nad Labem Masarykova nemocnice v Ústí nad Labem, Institut postgraduálního vzdělávání ve zdravotnictví ²; Centrum pro výzkum a vývoj, Fakultní nemocnice Hradec Králové ³; Dept. of Anesthesia, Pain Management and Perioperative Medicine, Dalhousie University, Halifax, Canada ⁴; Klinika anesteziologie, resuscitace a intenzivní medicíny, Univerzita Karlova v Praze, Lékařská fakulta v Hradci Králové ⁵
Published in: Anest. intenziv. Med., 27, 2016, č. 5, s. 277-283
Category: Anesthesiology - Review Article

Overview

Hypotension following induction to general anaesthesia occurs frequently in clinical practice. The aim of our narrative review was to offer a summary of the literature data dealing with the issue. Absolute blood pressure values and relative decrease in pressure are discussed, suggesting the limits which cannot be tolerated and require intervention. Hypotension after induction to general anaesthesia is associated with increased postoperative mortality and prolonged hospital length of stay. It also presents one of a few potentially responsive factors influencing postoperative morbidity and mortality.

Keywords:
hypotension – induction of general anaesthesia – risk factors – prevention

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Article was published in

Anaesthesiology and Intensive Care Medicine

2016 Issue 5