{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T20:06:53Z","timestamp":1791144413173,"version":"4.1.0"},"reference-count":39,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T00:00:00Z","timestamp":1770076800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100008269","name":"L\u00e6ge Sofus Carl Emil Friis og Hustru Olga Doris Friis' Legat","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intraoperative hypotension is a common occurrence in patients undergoing anaesthesia, although there is no standardised definition of hypotension. International consensus statements provide some guidelines for the management of intraoperative hypotension, but general clinical practice is unknown. We aimed to survey anaesthesiologists' values and preferences regarding intraoperative blood pressure management, including whether they would support future research on this topic.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted an international, online survey of routine practice and opinion. The target population was anaesthesiologists who regularly anaesthetise adult patients. Results are reported descriptively and in accordance with the Consensus\u2010Based Checklist for Reporting of Survey Studies (CROSS) checklist.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 1640 anaesthesiologists from 11 European countries participated in the survey. The majority of respondents were specialists (1322 of 1640, 80.6%, 95% CI 78.7\u201382.6). Almost all respondents worked in public hospitals (1613 of 1640, 98.4%). The overall response rate was 22.7%. Most respondents reported using absolute mean arterial pressure as their main unit of measurement to quantify hypotension (1098 of 1640, 67.0%, 95% CI 64.6\u201369.2). Respondents were most likely to initiate vasoactive treatment at a mean arterial pressure below 60 or 65\u2009mmHg. Chronic arterial hypertension, traumatic brain injury and surgical procedures involving head\u2010up positioning of the patient were the three most common scenarios where respondents would raise their threshold for treatment. Most respondents considered the establishment of safe intraoperative blood pressure thresholds a critical research question, and almost all respondents (1509 of 1640, 92.0%) indicated a willingness to randomise patients to specific blood pressure targets. For 72.9% (1196 of 1640), the lowest acceptable mean arterial pressure for randomisation was 60\u2009mmHg. Respondents were also interested in the comparison of efficacy and safety of vasoactive agents, and the most sought\u2010after comparison was phenylephrine versus noradrenaline (1252 of 1640, 76.3%). The willingness of respondents to administer these agents in peripheral venous access differed according to geography.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this international survey, mean arterial pressures of 60 or 65\u2009mmHg were the most commonly reported blood pressure thresholds leading to initiation of treatment with vasoactive agents. Almost all respondents indicated patient groups for whom they would alter their treatment threshold, namely those suffering from chronic arterial hypertension, those undergoing surgery in a head\u2010up position, and patients with traumatic brain injury. The majority of respondents supported future trials establishing optimal mean arterial pressure threshold and choice of vasoactive agent. We noticed a geographical variation in willingness to administer vasoactive agents in peripheral venous access.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Editorial Comment<\/jats:title>\n                    <jats:p>This survey of anaesthesiologists from European countries queried practitioner perceptions of blood pressure management in adults during anaesthesia with focus on hypotension. Queries and responses also concerned circumstances and blood pressure levels which clinicians report being willing to treat actively, and how they might do this practically.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/aas.70197","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T03:48:54Z","timestamp":1770176934000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intraoperative Hypotension and Vasoactive Treatment: An International Survey of Anaesthesiologists"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1281-8243","authenticated-orcid":false,"given":"Emilie S.","family":"B\u00e6kgaard","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Holb\u00e6k Hospital  Holb\u00e6k Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten","family":"Vester\u2010Andersen","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"},{"name":"Collaboration for Evidence Based Practice and Research in Anaesthesia (CEPRA)  Copenhagen Denmark"},{"name":"Herlev Anaesthesia Critical and Emergency Care Science Unit, Department of Anaesthesia and Intensive Care, Copenhagen University Hospital \u2013 Herlev University of Copenhagen  Herlev Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Crone","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Holb\u00e6k Hospital  Holb\u00e6k Denmark"},{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Morten Hylander","family":"M\u00f8ller","sequence":"additional","affiliation":[{"name":"Department of Clinical Medicine University of Copenhagen  Copenhagen Denmark"},{"name":"Department of Intensive Care Copenhagen University Hospital \u2013 Rigshospitalet  Copenhagen Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shun","family":"Yamanaka","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Royal Devon County Hospital  Exeter UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakel","family":"Palmarsdottir","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Intensive Care Holb\u00e6k Hospital  Holb\u00e6k Denmark"},{"name":"Landsp\u00edtali, National University Hospital Iceland  Reykjavik Iceland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panu","family":"Uusalo","sequence":"additional","affiliation":[{"name":"Division of Perioperative Sciences, Intensive Care and Pain Medicine Turku University Hospital  Turku Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7225-848X","authenticated-orcid":false,"given":"Felix","family":"Haidl","sequence":"additional","affiliation":[{"name":"Anestesiavdelingen Akershus Universitetssykehus  L\u00f8renskog Norway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"R\u00e5destad","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koene","family":"van der Sloot","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Pain Medicine Groene Hart Ziekenhuis  Gouda The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Corona","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Medicine Balgrist University Hospital  Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Johnstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology and Intensive Care Odense University Hospital  Odense Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6908-7832","authenticated-orcid":false,"given":"Anders Kehlet","family":"N\u00f8rskov","sequence":"additional","affiliation":[{"name":"Collaboration for Evidence Based Practice and Research in Anaesthesia (CEPRA)  Copenhagen Denmark"},{"name":"Department of Anaesthesiology and Intensive Care Copenhagen University Hospital \u2013 North Zealand  Hiller\u00f8d Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anders P. 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