Hello all. Ive been a nurse for a while, but havent set foot inside an OR since my BSN program.
A buddy and I were talking at work the other day and we came to the subject of blood pressure during an operative procedure. We didnt agree on BP parameters during some types of surgeries. I was wondering if some of you could lend some expertise knowledge regarding whether or not patients are made hypotensive purposefully in some types of surgeries.
My thought would be vascular surgeries may require this. If so, are there any other situations where hypotension would be induced?
That's a calculated MAP, but still a pretty good approximation. A true MAP is going to come from integrating the curve under an arterial line trace - if that particular monitor actually does that. Some just do a calculation either way.
While wiki is correct here, it is well know that it is a open encyclopedia and anyone can contribute to it. This is a medical forum and it is probably better to use medical sources.
Controlled or deliberate hypotension is rapidly becoming a thing of the past in many facilities. Even though the causes are debated, peri-operative visual loss is a big concern in spine surgery (and others), and hypotension is thought to be a significant contributor to this problem.
Although there are some instances when blood pressure has to be low for brief periods, extended hypotension just isn't a great concept anymore.
did anyone read the reports of brain death during the beach chair position in the apsa newsletter? one lady was in her mid 40's and healthy.
controlled hypotenion (sbp
also, vision loss should be a concern in long prone cases. johns hopkins looked at this and found several factors in common when this horrific event occurred: hypotension, anemia, long surgical cases, fluid overload.
stillpressingon
225 Posts
What's "map?" I've seen it several times but haven't been able to figure it out.