Management of intra- and early postoperative hemodynamics is the “bread and butter” of the operative anesthesiologist’s toolkit, a skill that gives many of us great pride. Who hasn’t rejoiced at the end of a long case to think to themselves, or better yet to brag to the surgeon, the recovery room nurse, or even a colleague, that the hemodynamics were “railroad tracks” all the way through? On the flip side, how many of us have gone home exhausted after a long case “battling” the “roller coaster” of blood pressure and/or heart rate? Although heart rate has been the subject of great controversy during the 1980s through early 2000s during the peak period of the beta blocker controversy, blood pressure has now assumed the forefront of this scrutiny. The pioneering work of many groups, applying rigorous techniques to...

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