Perioperative Hemodynamic Management in Elderly Hypertensive Patients: A Systematic Review of Monitoring-Guided Strategies and Postoperative Outcomes
This systematic review of 19 studies involving over one million elderly hypertensive patients undergoing non-cardiac surgery finds that while intraoperative hypotension is consistently associated with organ injury in observational data, randomized evidence does not support the routine use of higher blood pressure targets, goal-directed hemodynamic therapy, or specific antihypertensive withholding strategies to improve postoperative outcomes in this population.