Incidence of Hypotension in the Post-anesthesia Care Unit (PACU).
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Hypotension During Surgery, Surgery-Complications. Basic parameters: 18 years — 105 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Czechia
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The perioperative period poses a heightened risk of complications for patients, including hypotension. While the issue of intraoperative hypotension is well-documented in medical literature, the occurrence and causes of hypotension in the post-anesthesia care unit often receive less attention. This phase of postoperative care, however, is vital for ensuring patient stability and preventing severe consequences. Failure to identify and manage a drop in blood pressure can lead to hypoperfusion of critical organs, increasing the risk of morbidity and mortality. The aim of this study is to examine the frequency of hypotension in the post-anesthesia care unit-defined as systolic blood pressure \<90 mmHg or a drop of more than 20% from baseline-and to identify factors contributing to its development.
Detailed description
The perioperative period is a critical time for patients, marked by an increased risk of various complications, including hypotension. While intraoperative hypotension is extensively studied in medical literature, the occurrence and underlying causes of hypotension in the post-anesthesia care unit (PACU) often remain overlooked. This phase of postoperative care is essential for stabilizing the patient and preventing severe outcomes. A failure to identify and adequately address a drop in blood pressure during this time can result in hypoperfusion of vital organs, increasing the likelihood of morbidity and mortality.
Hypotension in the PACU is defined as a systolic blood pressure below 90 mmHg or a decrease exceeding 20% compared to the patient's baseline measurements. The aim of this research is to explore the prevalence of hypotension in the PACU and to analyze the factors contributing to its occurrence. By improving the understanding of this issue, the study seeks to enhance patient outcomes through timely identification and management of hypotension in this crucial phase of care.
Primary outcome measures
- Incidence of hypotension in the post-anesthesia care unit (PACU). [Time frame: 0. postoperative day]
Secondary outcome measures (12)
- Duration of the operation [Time frame: 0. postoperative day]
- ASA classification (American Society of Anesthesiologists classification). [Time frame: 0. postoperative day]
- Type of anesthesia. [Time frame: 0. postoperative day]
- Blood loss during the operation [Time frame: 0. postoperative day]
- Fluid balance during the surgery [Time frame: 0. postoperative day]
- Surgical specialty [Time frame: 0. postoperative day]
- Fluid administration in the recovery room. [Time frame: 0. postoperative day]
- Administration of vasopressors. [Time frame: 0. postoperative day]
- Blood pressure monitoring. [Time frame: 0. postoperative day]
- Heart rate monitoring. [Time frame: 0. postoperative day]
- Patient repositioning [Time frame: 0. postoperative day]
- Transfer of the patient to the ICU due to hemodynamic instability [Time frame: 0. postoperative day]
Eligibility criteria
Inclusion criteria
- patients over 18 years old
- patients undergoing a procedure under general anesthesia
- patients who have consented to data processing
- postoperative stay in PACU
Exclusion criteria
- patients younger than 18 years old.
- patients transferred directly to the ICU/Anesthesiology and Resuscitation Department after surgery without staying in the recovery room.
- patients with incomplete medical documentation or missing blood pressure values in the recovery room.
- patients with a pre-existing diagnosis of resistant hypotension or unstable hemodynamics before surgery
- patients with a history of long-term use of anxiolytics, antipsychotics, or other psychotropic medications that may affect cognitive function, emotional state, or predictive outcomes
- patient refusal to participate in the study (including cases where they initially consented), with an emphasis on respecting patient autonomy
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: Yes
Study design
- Observational model
- Cohort
Study locations
Czechia · 1 center
- Tomas Bata regional Hospital — Zlín
Identifiers
NCT: NCT07022210 · 2025-12