We thank Dr. Soussi et al. for their very relevant comments regarding our recent article on computer- assisted individualized hemodynamic management.

We agree that the reference mean arterial pressure (MAP) measured during the preoperative consultation might have overestimated their “normal” daytime MAP due to a potential “white coat” effect, and that this overestimation may have affected our conclusions. Although it would have been appealing to obtain an automated ambulatory MAP measurement during sleep the day before surgery using noninvasive finger cuff technology as recently proposed, we unfortunately don’t have access to this device at our hospital (yet). It is also important to note that at least 40% of our studied population had chronic hypertension, and in a large randomized controlled trial conducted in chronic hypertensive patients, Wu et al. demonstrated that maintaining a MAP between 80 and 95 mmHg decreased the incidence of acute kidney...

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