Intraoperative blood pressure management in noncardiac surgery: a narrative review based on current evidence

Observational and randomized data are concordant: MAP ≥ 60-65 mmHg appears sufficient for most noncardiac surgical patients. Future progress will likely depend on mechanistic endotyping, integration of advanced monitoring, and precision-guided haemodynamic strategies rather than escalation of universal MAP targets alone.

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Publication Details

Journal
Intensive Care Medicine
Published
2026-02-17
DOI
https://doi.org/10.1007/s00134-026-08326-4
Primary Topic
Cardiac, Anesthesia and Surgical Outcomes
Type
article
Field-Weighted Citation Impact
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article

Intraoperative blood pressure management in noncardiac surgery: a narrative review based on current evidence

Paul Stewart Myles, Denise Petra Veelo, Antonio Messina, Daniel I. Sessler et al.
Intensive Care Medicine
Cardiac, Anesthesia and Surgical Outcomes
article

Intraoperative blood pressure management in noncardiac surgery: a narrative review based on current evidence

Paul Stewart Myles, Denise Petra Veelo, Antonio Messina, Daniel I. Sessler, Michelle S. Chew, Matthieu Legrand, Emmanuel Futier, Anatole Harrois, Jean-Luc Fellahi, Alexandre Joosten, Bernd Saugel
article en

Abstract

Observational and randomized data are concordant: MAP ≥ 60-65 mmHg appears sufficient for most noncardiac surgical patients. Future progress will likely depend on mechanistic endotyping, integration of advanced monitoring, and precision-guided haemodynamic strategies rather than escalation of universal MAP targets alone.

Intensive Care Medicine
Université Claude Bernard Lyon 1 (FR), Karolinska University Hospital (SE), Humanitas University (IT), Inserm (FR), Universität Hamburg (DE), Outcomes Research Consortium (US), University of California, San Francisco (US), Université Paris-Saclay (FR), UCLA Medical Center (US), Hospices Civils de Lyon (FR), University of Clermont Auvergne (FR), Amsterdam Neuroscience (NL), University Medical Center Hamburg-Eppendorf (DE), Laboratoire de recherche en cardiovasculaire, métabolisme, diabétologie et nutrition (FR), Centre Hospitalier Universitaire de Clermont-Ferrand (FR), Health Economics and Outcomes Research (United Kingdom) (GB), Hôpital Louis Pradel (FR), Bicêtre Hospital (FR), IRCCS Humanitas Research Hospital (IT), French Clinical Research Infrastructure Network (FR), Monash University (AU), University of Amsterdam (NL)
Good health and well-being
Openalex Percentile: Top 56%
Cardiac, Anesthesia and Surgical Outcomes
DOIOpen Access PDFOpenAlex
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Intraoperative blood pressure management in noncardiac surgery: a narrative review based on current evidence — Paul Stewart Myles, Denise Petra Veelo, et al. · Intensive Care Medicine (2026) | TGRS Research Map | TGRS