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October 10, 2017

Perioperative Management of High-Risk Patients: Going Beyond “Avoid Hypoxia and Hypotension”

Author Affiliations
  • 1Duke University School of Medicine, Durham, North Carolina
  • 2Department of Anesthesiology, Duke University Health System, Durham, North Carolina
  • 3University College London Hospitals National Institute for Health Research Biomedical Research Centre, London, United Kingdom
JAMA. 2017;318(14):1330-1332. doi:10.1001/jama.2017.13699

Long gone is the time when a preoperative medical consultation offered the pseudo-sage and rather unhelpful advice to “avoid hypoxia and hypotension.” Perioperative medicine is evolving as a distinct clinical science. For patients with chronic comorbid conditions who are designated to have surgery (increasing in numbers each year with an aging population), their medical management is now better understood to include unique and often nuanced medical care. A key observation in this regard has been perioperative management of blood pressure (BP).