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78th Annual PostGraduate Assembly in Anesthesiology (PGA78) 2024
December 6 - 9, 2024 | New York City
4083
A retrospective study to determine the incidence of intra-operative hypotension during routine anesthesia management of ASA III and IV adult surgical patients
Poster Presenter
Part of Topic
A Retrospective study to determine the incidence of intraoperative hypotension during routine anesthesia management of ASA III and IV adult surgical patients
Noshin Choudhury, BA, SUNY Downstate Health Sciences; Ketan Shevde, MD, Department of Anesthesiology, SUNY Downstate Health Sciences Sharan Prasad, BS, Jacobs School of Medicine at University of Buffalo; Tanzina Islam, BS, SUNY Downstate Health Sciences; Seher Ali, BS, SUNY Downstate Health Sciences University
Background
Intraoperative hypotension has been shown to be associated with increased cardiac complications in the perioperative period and beyond. Studies demonstrate that deviations from normal arterial BP, particularly a mean arterial pressure (MAP) below 65 mmHg, significantly increases postoperative complications such as delirium, kidney impairment, myocardial ischemia, and mortality. Injury is directly correlated with severity and duration of hypotensive episodes, particularly in ASA physical status III-V patients (1). Literature review has shown the incidence of intraoperative hypotension (below a mean of 65 mmHg for greater than 10 minutes) to be 19.2% and 31.3% (2, 3). We aim to provide quantitative data on the incidence of intraoperative hypotension in adult ASA III-IV patients at our institution.