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).
Aronson S, Mythen MG. Perioperative Management of High-Risk PatientsGoing Beyond “Avoid Hypoxia and Hypotension”. JAMA. 2017;318(14):1330–1332. doi:10.1001/jama.2017.13699