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Intermediate Technical IVT

intraoperative hypotension

Abnormally low blood pressure occurring during surgical procedures, often indicating blood loss or physiologic compromise.

Full Definition

A perioperative complication characterized by sustained reduction in systolic blood pressure below 90 mmHg or mean arterial pressure below 60 mmHg during surgery. In acute care surgery, intraoperative hypotension may signal ongoing hemorrhage, inadequate resuscitation, or cardiovascular compromise requiring immediate intervention. Management strategies include fluid resuscitation, blood product administration, vasopressor support, and surgical source control.

Usage

Usage note: Specify timing (intraoperative vs. postoperative) to avoid ambiguity.

In Context

  • "Intraoperative hypotension prompted immediate exploration for ongoing bleeding." — Operative report
  • "The patient developed intraoperative hypotension requiring vasopressor support." — Anesthesia record

Also known as

perioperative hypotension surgical hypotension

Contrasted with

intraoperative hypertension

Don't confuse with

preoperative hypotension postoperative hypotension

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