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Current perspectives on treatment of perioperative hemodynamic instability and hypotension
Author(s) -
Joffe Denise C.,
Latham Gregory J.,
Ross Faith J.
Publication year - 2019
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/pan.13583
Subject(s) - medicine , perioperative , hemodynamics , intensive care medicine , etiology , anesthesia , lesion , surgery
Summary Overall, there are numerous causes of hypotension in the perioperative period. The approach to definitive treatment must be tailored to the child's unique anatomy and physiology, as well as the current factors presumed to be eliciting the hypotensive state. It is imperative to consider both routine and lesion‐specific etiologies to the current hypotensive episode. Lastly, when employing pharmacologic therapy for hypotension, there are often multiple combinations of medications that can reasonably be used to achieve the desired hemodynamic effects.