What is your approach to evaluating post-operative hypotension?

The most useful separators are timing, skin perfusion (cold vs warm), trends in heart rate and hemoglobin, drain output, and bedside echo/IVC with passive leg raise. Hypoperfusion: altered mentation, oliguria, mottling or prolonged capillary refill, and lactate >2 mmol/L. Hypotension and shock are n...

Postoperative hypotension secondary to anesthesia could very well be a case of retrospective diagnosis and, to some extent, diagnosis of exclusion.

When a patient is hypotensive in the postoperative period, confirming true hypotension with a manual BP and looking for signs of reduced end-organ perfus...