{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,19]],"date-time":"2026-09-19T18:56:26Z","timestamp":1789844186486,"version":"4.0.1"},"reference-count":24,"publisher":"Elsevier BV","issue":"5","license":[{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,11,1]],"date-time":"2023-11-01T00:00:00Z","timestamp":1698796800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"vor","delay-in-days":366,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["bjanaesthesia.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["British Journal of Anaesthesia"],"published-print":{"date-parts":[[2023,11]]},"DOI":"10.1016\/j.bja.2023.09.005","type":"journal-article","created":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T16:01:45Z","timestamp":1696003305000},"page":"810-812","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":22,"title":["Intraoperative blood pressure: could less be more?"],"prefix":"10.1016","volume":"131","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9749-3515","authenticated-orcid":false,"given":"Frederic","family":"Michard","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandre","family":"Joosten","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6454-271X","authenticated-orcid":false,"given":"Emmanuel","family":"Futier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.bja.2023.09.005_bib1","doi-asserted-by":"crossref","first-page":"706","DOI":"10.1016\/j.bja.2018.04.036","article-title":"Intraoperative hypotension and the risk of postoperative adverse outcomes: a systematic review","volume":"121","author":"Wesselink","year":"2018","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib2","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1016\/j.bja.2019.01.013","article-title":"Perioperative quality initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery","volume":"122","author":"Sessler","year":"2019","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib3","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1213\/ANE.0000000000003482","article-title":"A\u00a0randomized trial of continuous noninvasive blood pressure monitoring during noncardiac surgery","volume":"127","author":"Maheshwari","year":"2018","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2023.09.005_bib4","doi-asserted-by":"crossref","first-page":"1753","DOI":"10.1016\/j.jacc.2021.08.048","article-title":"Targeting higher intraoperative blood pressures does not reduce adverse cardiovascular events following non cardiac surgery","volume":"78","author":"Wanner","year":"2021","journal-title":"J\u00a0Am Coll Cardiol"},{"key":"10.1016\/j.bja.2023.09.005_bib5","doi-asserted-by":"crossref","first-page":"1052","DOI":"10.1001\/jama.2020.0592","article-title":"Effect of machine learning-derived early warning system for intraoperative hypotension vs standard care on depth and duration of intraoperative hypotension during elective non-cardiac surgery","volume":"323","author":"Wijnberge","year":"2020","journal-title":"JAMA"},{"key":"10.1016\/j.bja.2023.09.005_bib6","doi-asserted-by":"crossref","first-page":"1562","DOI":"10.1056\/NEJMon1211064","article-title":"Chocolate consumption, cognitive function, and Nobel laureates","volume":"367","author":"Messerli","year":"2012","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.bja.2023.09.005_bib7","doi-asserted-by":"crossref","first-page":"1907","DOI":"10.1016\/S0140-6736(19)32315-3","article-title":"Anaesthetic depth and complications after major surgery: an international randomized controlled trial","volume":"394","author":"Short","year":"2019","journal-title":"Lancet"},{"key":"10.1016\/j.bja.2023.09.005_bib8","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1016\/j.bja.2023.01.023","article-title":"Long-term survival in older patients given propofol or sevoflurane anaesthesia for major cancer surgery: follow-up of a multicentre randomised trial","volume":"131","author":"Cao","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib9","doi-asserted-by":"crossref","first-page":"915","DOI":"10.1016\/j.bja.2022.01.012","article-title":"Hypotension as a marker or mediator of perioperative organ injury: a narrative review","volume":"128","author":"Ackland","year":"2022","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib10","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1016\/j.bja.2023.02.029","article-title":"Predicting intraoperative hypotension: from hope to hype and back to reality","volume":"131","author":"Michard","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib11","doi-asserted-by":"crossref","DOI":"10.1016\/j.bja.2023.08.026","article-title":"Intraoperative hypotension and postoperative outcomes: a meta-analysis of randomized trials","author":"D\u2019Amico","year":"2023","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib12","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/ALN.0000000000002703","article-title":"Automated ambulatory blood pressure measurements and intraoperative hypotension in patients having noncardiac surgery with general anesthesia","volume":"131","author":"Saugel","year":"2019","journal-title":"Anesthesiology"},{"key":"10.1016\/j.bja.2023.09.005_bib13","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1213\/ANE.0000000000006343","article-title":"Energy expenditure under general anesthesia: an observational study using indirect calorimetry in patients having noncardiac surgery","volume":"137","author":"Briesenick","year":"2023","journal-title":"Anesth Analg"},{"key":"10.1016\/j.bja.2023.09.005_bib14","doi-asserted-by":"crossref","first-page":"e26","DOI":"10.1002\/bjs.11393","article-title":"Strategies to minimize intraoperative blood loss during major surgery","volume":"107","author":"Shah","year":"2020","journal-title":"Br J Surg"},{"key":"10.1016\/j.bja.2023.09.005_bib15","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1186\/s13018-019-1473-6","article-title":"Is deliberate hypotension a safe technique for orthopedic surgery? A systematic review and meta-analysis of parallel randomized controlled trials","volume":"14","author":"Jiang","year":"2019","journal-title":"J\u00a0Orthop Surg Res"},{"key":"10.1016\/j.bja.2023.09.005_bib16","article-title":"Intraoperative hypotension is bad but could the treatment be even worse?","volume":"42","author":"Leone","year":"2023","journal-title":"Anaesth Crit Care Pain Med"},{"key":"10.1016\/j.bja.2023.09.005_bib17","doi-asserted-by":"crossref","first-page":"605","DOI":"10.7326\/M22-3157","article-title":"Hypotension-avoidance versus hypertension-avoidance strategies in noncardiac surgery: an international randomized controlled trial","volume":"176","author":"Marcucci","year":"2023","journal-title":"Ann Intern Med"},{"key":"10.1016\/j.bja.2023.09.005_bib18","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1016\/j.bja.2020.04.065","article-title":"A\u00a0glimpse into the future of postoperative arterial blood pressure monitoring","volume":"125","author":"Michard","year":"2020","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib19","doi-asserted-by":"crossref","DOI":"10.1016\/j.bjao.2022.100002","article-title":"Wireless wearables for postoperative surveillance on surgical wards: a survey of 1158 anaesthesiologists in Western Europe and the USA","volume":"1","author":"Michard","year":"2022","journal-title":"BJA Open"},{"key":"10.1016\/j.bja.2023.09.005_bib20","doi-asserted-by":"crossref","first-page":"1504","DOI":"10.1056\/NEJMoa1401106","article-title":"Clonidine in patients undergoing non-cardiac surgery","volume":"370","author":"Devereaux","year":"2014","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.bja.2023.09.005_bib21","doi-asserted-by":"crossref","first-page":"1346","DOI":"10.1001\/jama.2017.14172","article-title":"Effect of individualized vs standard blood pressure management strategies on postoperative organ dysfunction among high-risk patients undergoing major surgery: a randomized clinical trial","volume":"318","author":"Futier","year":"2017","journal-title":"JAMA"},{"key":"10.1016\/j.bja.2023.09.005_bib22","doi-asserted-by":"crossref","first-page":"946","DOI":"10.1186\/s13063-022-06854-0","article-title":"Effect of personalized perioperative blood pressure management on postoperative complications and mortality in high-risk patients having major abdominal surgery: protocol for a multicenter randomized trial","volume":"23","author":"Bergholz","year":"2022","journal-title":"Trials"},{"key":"10.1016\/j.bja.2023.09.005_bib23","doi-asserted-by":"crossref","first-page":"396","DOI":"10.1016\/j.bja.2021.06.004","article-title":"Association of the intraoperative peripheral perfusion index with postoperative morbidity and mortality in acute surgical patients: a retrospective observational multicentre cohort study","volume":"127","author":"Agerskov","year":"2021","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.bja.2023.09.005_bib24","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1097\/EJA.0000000000001615","article-title":"Impact of conventional vs goal-directed fluid therapy on urethral tissue perfusion in patients undergoing liver surgery: a pilot randomized controlled trial","volume":"39","author":"Chirnoaga","year":"2022","journal-title":"Eur J Anaesthesiol"}],"container-title":["British Journal of Anaesthesia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091223005019?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0007091223005019?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,13]],"date-time":"2025-09-13T19:05:51Z","timestamp":1757790351000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0007091223005019"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11]]},"references-count":24,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2023,11]]}},"alternative-id":["S0007091223005019"],"URL":"https:\/\/doi.org\/10.1016\/j.bja.2023.09.005","relation":{},"ISSN":["0007-0912"],"issn-type":[{"value":"0007-0912","type":"print"}],"subject":[],"published":{"date-parts":[[2023,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intraoperative blood pressure: could less be more?","name":"articletitle","label":"Article Title"},{"value":"British Journal of Anaesthesia","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2023.09.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"https:\/\/doi.org\/10.1016\/j.bja.2023.08.026","name":"associatedlink","label":"CrossRef DOI link to the associated document"},{"value":"simple-article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2023 British Journal of Anaesthesia. Published by Elsevier Ltd.","name":"copyright","label":"Copyright"}]}}