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The Perioperative Quality Initiative (POQI) have featured frequently on TopMedTalk, here we discuss their focus on hypotension and blood pressure. Perioperative Quality Initiative consensus statement on the physiology of arterial blood pressure control in perioperative medicine https://bjanaesthesia.org/article/S0007-0912(19)30047-9/fulltext Perioperative Quality Initiative consensus statement on preoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30057-1/fulltext Perioperative Quality Initiative consensus statement on intraoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30050-9/fulltext Perioperative Quality Initiative consensus statement on postoperative blood pressure, risk and outcomes for elective surgery https://bjanaesthesia.org/article/S0007-0912(19)30059-5/fulltext Presented by Monty Mythen and Desiree Chappell with Joff Lacey, registrar in anaesthesia at St George’s Hospital in London, currently undertaking a fellowship in Perioperative Medicine at UCLH as well as being a regular presenter on TopMedTalk and Tim Miller, Associate Professor of Anaesthesiology from Duke University Medical Centre.