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Errors occurring during blood pressure monitoring01:25

Errors occurring during blood pressure monitoring

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Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
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This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
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When assessing blood pressure (BP), healthcare professionals must consider various factors and potential unexpected outcomes to ensure accurate readings and provide proper patient care. Adhering to these guidelines is essential to achieving the most reliable results.
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Accurate blood pressure assessment is crucial for diagnosing and managing various health conditions. To ensure the reliability of these measurements, healthcare professionals must adhere to standardized pre-procedural guidelines. These guidelines enhance patient safety and improve the overall quality of healthcare. The following steps are essential for obtaining accurate and consistent blood pressure readings, from using the appropriate tools to ensuring effective communication with the...
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A Detailed Protocol for Physiological Parameters Acquisition and Analysis in Neurosurgical Critical Patients
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Post-craniotomy emergence hypertension: A scoping review.

Fatima Gauhar1, Naveed Kamal1, Patrick D Kelly1

  • 1Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN 37232, United States.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|September 18, 2025
PubMed
Summary

Post-craniotomy emergence hypertension (PCEH) definitions and management vary widely. Establishing a consensus definition is crucial for better understanding and treating this common post-neurosurgery blood pressure increase.

Keywords:
CraniotomyHypertensionIntracranial hemorrhageMean arterial pressureSystolic pressure

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Area of Science:

  • Neurosurgery
  • Anesthesiology
  • Cardiovascular Medicine

Background:

  • Post-craniotomy emergence hypertension (PCEH) is a common transient increase in blood pressure after craniotomy.
  • Existing literature shows significant variability in PCEH definitions and prevalence.

Purpose of the Study:

  • To characterize the existing literature on the diagnosis and management of post-craniotomy emergence hypertension.
  • To identify inconsistencies in the definition and treatment of PCEH.

Main Methods:

  • A scoping review of twenty-one articles was conducted across six electronic databases.
  • Literature quality was assessed using Joanna Briggs Institute Critical Appraisal Checklists.

Main Results:

  • Definitions of PCEH were heterogeneous, with varied blood pressure criteria used (mean arterial, systolic, or both).
  • Management includes early detection via arterial line monitoring and antihypertensives, with nicardipine potentially superior to beta-blockers.
  • PCEH may increase risks of postoperative bleeding and ICU length of stay.

Conclusions:

  • Significant variability exists in PCEH definition, monitoring, and management.
  • A consensus definition for PCEH is needed to enable more robust clinical research and improve patient outcomes.