An alarm is a prompt. When blood pressure falls during anaesthesia, check the arterial trace, the patient's usual pressure, volume status, anaesthetic depth and surgical events before reaching for a vasopressor. A damped line or a transducer at the wrong level can mimic hypotension.
- Confirm the waveform and transducer level when a reading is unexpected.
- Compare against the patient's baseline, not only a fixed threshold.
- Look for a cause: depth, volume, bleeding, surgical traction, drug effect.
- Treat early and record the response.
Why it matters
Alarms reduce delay but do not replace identifying why pressure has fallen.
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