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Pearl · 04 of 05

Record a true baseline blood pressure before induction

Document a considered baseline blood pressure before induction and state the target derived from it.

Any target expressed relative to baseline depends on what the baseline was. A reading taken in the anaesthetic room, from an anxious patient after a long fast, can be higher or lower than usual.

It is established practice to look back at ward or clinic readings, take more than one pre-induction measurement, and document the value used as the reference so that the whole team works to the same number.

  • Check ward and pre-assessment blood pressure readings, not just the anaesthetic room value.
  • Take at least two readings before induction where time allows.
  • Document the baseline you are using and the threshold that will prompt treatment.
  • Share the target at the team brief so it is acted on consistently.

Why it matters

A relative target is only as good as the baseline it is measured against.

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