Preoperative Hypercapnia as a Predictor of Hypotension During Anesthetic Induction in Lung Transplant Recipients

Objective To determine the incidence and predisposing factors of hypotension during anesthetic induction in lung transplant recipients. Design Retrospective study. Setting University hospital. Participants Patients who underwent lung transplantation between 2008 and 2013 (n = 68). Interventions None. Measurements and Main Results The authors analyzed the mean arterial pressure (MAP) from administration of anesthetic drugs to 10 minutes after endotracheal intubation (ie, the anesthetic induction) among participants who underwent lung transplantation. Patients were considered to have clinically significant hypotension (CSH) when the following criteria were fulfilled: An MAP decrease of>40% from baseline and MAP of