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In brief, if your systolic blood pressure drops and is low for a sustained period, there is a small, theoretical risk of damage to organs.
during spinal surgery, there are many possibilities for what could cause this, and it could happen naturally without relationship to the surgery at all! The changes in blood pressure really depend on the baseline BP. If the baseline were 80, for example, which some people have.... 70 wouldn't be so concerning. Even BPs up to 120, 70 isn't necessarily too concerning. We have to keep in mind that it's possible that there is something that has nothing to do with the body that could be involved, like the incorrect placement , or movement, of a measuring cuff.
The simplest/best measurement for concern is whether there are clinical findings. If you're different later, and it has nothing to do with the spinal surgery at all, the blood pressure change may be relevant. but even still, it's quite unlikely, provided the BP came up to normal values afterwards
blood loss, dehydration, not really anemia... that doesn't cause short term BP changes... anemia should be managed with iron supplementation.
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I think they should certainly monitor blood pressures and neuro function closely, but they should be doing that anyway. From what you've described, I don't think there's anything beyond the standard and necessary that should be done.
No, anemia would not compromise oxygen deliver to such a drastic extent. The BP should not be adjusted based on anemia.
I don't know that it's fair to call 70 SBP "hypotensive" in a diagnostic or risk factor sense. That is still within the realm of normal limits... although surely on the low side, and not surprising with spinal surgery.
I see. It's great that you're reading up and care so much! That is where the best outcomes arise. I think there are some substantial unknowns about the surgery, as I've outlined regarding the appropriate use of BP cuffs and the duration of verified SBPs at 70, and the actual implications of what was operated upon. There are a number of ways that blood pressure can be effected by the surgery of the spinal cord itself. Autonomic dysreflexia can be incurred by surgeons as well as a result of hypotension.
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