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Pearl · 04 of 05

Treat the pressure, not only the number on the alarm

When a pressure alarm sounds, check the trace and look for the cause before treating the number.

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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