Control of blood pressure (BP) is important during the perioperative care of surgical patients. Recent research indicates that hypotension, hypertension, and tachycardia increase the risk of short-term and long-term morbidity and mortality independent of patients’ underlying medical comorbidities. Current literature has focused on the effects of intraoperative hypotension, and previously acceptable lower thresholds for systolic, diastolic, and mean BP are being challenged. Evidence suggests that the lower limit of acceptable BP may be higher than suggested by earlier standards of care, particularly in the adult population. There is increasing evidence in outcome and comparative effectiveness research that the threshold for hypotension should be individualized to reduce the risk of patient harm. This module will examine the evidence that defines best practices in BP management and consider protocols aimed at reducing patient risk from hypotension.
One PPAI activity is a case evaluation–based performance improvement activity. A case evaluation requires the collection of data from clinical outcomes or patient feedback, comparison to evidence-based practice guidelines, an educational activity, the design and implementation of a plan to improve outcomes, and assessment of the success of the interventions. All of these steps are facilitated by the electronic format of this ASA PPAI program.
This activities have been approved for AMA PRA Category 1 Credit™.
This PPAI activity fulfills the Case Evaluation requirement of Part 4 of the Maintenance of Certification in Anesthesiology Program (MOCA®) of the American Board of Anesthesiology (ABA). Please consult the ABA website, www.theABA.org, for a list of all MOCA requirements.
Maintenance of Certification in Anesthesiology Program and MOCA are registered certification marks of the American Board of Anesthesiology.