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Blood pressure and flow in pediatric anesthesia: An educational review

Jacob Karlsson1,2, Per-Arne Lönnqvist1,2

  • 1Karolinska Institute Department of Physiology and Pharmacology (FYFA), C3, Per-Arne Lönnqvist Group - Section of Anesthesiology and Intensive Care, Anestesi- och Intensivvårdsavdelningen, Stockholm, Sweden.

Paediatric Anaesthesia
|November 6, 2021
PubMed

Insights

Pediatric anesthesia blood pressure targets need careful consideration. Focusing solely on blood pressure numbers may be less useful than understanding its relation to cardiac output for effective intervention.

Area of Science:

  • Pediatric Anesthesiology
  • Cardiovascular Physiology

Background:

  • Recent focus on defining normal blood pressure ranges and hypotension in pediatric anesthesia.
  • Blood pressure is often used as a proxy for cardiac output.

Purpose of the Study:

  • To provide further perspective on intraoperative blood pressure management in pediatric anesthesia.
  • To critically evaluate the reliance on specific blood pressure values.

Main Methods:

  • Educational review of current literature and practices.
  • Discussion of blood pressure as an indicator of tissue perfusion.

Main Results:

  • Sole reliance on numerical blood pressure values may be insufficient.
  • Understanding the relationship between blood pressure and cardiac output is crucial.

Conclusions:

  • A nuanced approach to intraoperative blood pressure is necessary in pediatric anesthesia.
  • Consideration of cardiac output alongside blood pressure is recommended for optimal patient management.

Keywords:
childgeneral anesthesiameasurement

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