Intraoperative Hemodynamics: Additional Resources-Perioperative patients with hemodynamic instability: Consensus recommendations of the Anesthesia Patient Safety Foundation

Perioperative patients with hemodynamic instability: Consensus recommendations of the Anesthesia Patient Safety Foundation

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In November 2022, the Anesthesia Patient Safety Foundation (APSF) organized a Consensus Conference focusing on perioperative hemodynamic instability. The conference aimed to establish consensus recommendations through expert discussions, resulting in 17 high-level recommendations spread across seven key domains: current knowledge, prevention methods, data-driven quality improvement, patient information, technology importance, national campaign launch, and advancing the science. The main objective was to improve the safety of patients undergoing surgery by addressing hemodynamic instability, a condition associated with patient harm due to compromised circulation and oxygen delivery to organs.<br /><br />The recommendations emphasized understanding the complexities and multifactorial nature of hemodynamic instability and its substantial impact on patient outcomes. The use of improved monitoring technology to predict and manage potential instabilities proactively is crucial for effective interventions. The conference highlighted significant knowledge gaps regarding optimal blood pressure targets and appropriate interventions to minimize risk, stressing the need for further research and quality improvement initiatives.<br /><br />To effectively implement these recommendations, the APSF encouraged a multidisciplinary approach involving education, aligning of medical teams, and the integration of advanced technologies to improve patient monitoring systems. They suggested that institutions develop localized best practices based on the consensus recommendations, emphasizing the importance of active patient participation in their care plans and thoroughly informing them about the risks associated with surgery.<br /><br />The article concluded that achieving these goals requires a concerted effort from all stakeholders, including medical societies, regulatory bodies, and patient safety organizations, to promote comprehensive initiatives and campaigns. The ultimate aim is to advance scientific research and integrate innovative solutions and practices into standard care to enhance patient safety and outcomes.

Keywords

Anesthesia Patient Safety Foundation

perioperative hemodynamic instability

consensus recommendations

patient safety

monitoring technology

quality improvement

multidisciplinary approach

blood pressure targets

patient participation

scientific research