Hemodynamic monitoring. In the immediate postoperative period, management of intravas- cular volume and systemic BP is essential. If the BP is too high, anastomotic leaks or graft migra- tion may occur. On the other hand, hypotension may cause spinal ischemia, compromised renal perfusion, or infarction of vital organs.5,11,12 The MAP goal is usually kept between 75 and 85 mm Hg.9 However, the MAP goal should be obtained from the surgeon as it may be increased or decreased depending on the patient’s response. If needed, a low MAP can be treated with I.V. colloids (albumin), crystalloids (Ringer’s lactate solution), or neo- synephrine.8 A high MAP can be treated with sodium nitroprusside, alpha-1 adrenergic antagonists, and nonselective beta-blockers as needed.
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