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Semin Respir Crit Care Med 2021; 42(01): 047-058
DOI: 10.1055/s-0040-1713083
Review Article

Automated Blood Pressure Control

Joseph Rinehart
1   Department of Anesthesiology and Perioperative Care, University of California Irvine, Orange, California
,
Sean Lee
1   Department of Anesthesiology and Perioperative Care, University of California Irvine, Orange, California
,
Bernd Saugel
2   Department of Anesthesiology, Center of Anesthesiology and Intensive Care Medicine, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
3   Outcomes Research Consortium, Cleveland, Ohio
,
Alexandre Joosten
4   Department of Anesthesiology, Erasme Hospital, Brussels, Belgium
5   Department of Anesthesiology and Intensive Care, Hôpitaux Universitaires Paris-Sud, Université Paris-Sud, Université Paris-Saclay, Hôpital De Bicêtre, Assistance Publique Hôpitaux de Paris (AP-HP), Le Kremlin-Bicêtre, France
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Abstract

Arterial pressure management is a crucial task in the operating room and intensive care unit. In high-risk surgical and in critically ill patients, sustained hypotension is managed with continuous infusion of vasopressor agents, which most commonly have direct α agonist activity like phenylephrine or norepinephrine. The current standard of care to guide vasopressor infusion is manual titration to an arterial pressure target range. This approach may be improved by using automated systems that titrate vasopressor infusions to maintain a target pressure. In this article, we review the evidence behind blood pressure management in the operating room and intensive care unit and discuss current and potential future applications of automated blood pressure control.

Keywords

blood pressure - automation - vasopressors - closed-loop - intraoperative hypotension


Publication History

Article published online:
03 August 2020

© 2020. Thieme. All rights reserved.

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