Howell, SJ (2018) Preoperative Hypertension. Current Anesthesiology Reports, 8 (1). pp. 25-31. ISSN 2167-6275
Abstract
Purpose of Review
This review will examine the implications for perioperative management of new hypertension guidelines and place these in the context of findings from recent large observational studies.
Recent Findings
Recent hypertension guidelines highlight the role of ambulatory blood pressure measurement with the implication that isolated preoperative blood pressure measurements are of limited value. There is emerging evidence from large observational studies that both preoperative and intraoperative hypotension are associated with increased risk. It is not clear if this is a particular concern for hypertensive patients.
Summary
Assessment of the hypertensive surgical patient should include blood pressure measurements taken using the correct technique. Preoperative blood pressures of less than 180/100 mmHg are not grounds for deferring surgery in the absence of active comorbid disease. Evidence to guide the perioperative management of patients with higher pressures is scanty and decisions should be made on a case-by-case basis.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s), 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
Keywords: | Hypertension; Blood pressure; Perioperative medicine; Antihypertensive |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Inst of Biomed & Clin Sciences (LIBACS) (Leeds) > Trans Anaesthetics & Surgical Sciences (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 31 May 2019 11:20 |
Last Modified: | 31 May 2019 11:20 |
Status: | Published |
Publisher: | Springer |
Identification Number: | 10.1007/s40140-018-0248-7 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:146824 |
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