heart-rate-pulse-graph

Orthostatic Hypotension (OH)

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

HypotensionLabile Blood PressureAvoid HypotensionHypertensionDehydrationOptimize HydrationAvoid Prolonged FastingCareful PositioningFull StomachAspirationStroke RiskArrhythmiasAortocaval CompressionAutonomic DysfunctionFall Risk

Pathophysiology

Standing shifts 300 to 800 mL of blood into the legs and splanchnic veins. Venous return, right atrial pressure, and stroke volume all fall, and arterial pressure follows. Normally the carotid sinus...

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