| Perioperative hypertension due to undiagnosed aortic coarctation: are current standards of care adequate? | |
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MedLine Citation:
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PMID: 15078384 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 12-year-old male presented for a superficial parotidectomy for chronic parotitis. The patient had an unremarkable past medical history and was admitted on the day of surgery for his procedure without further anaesthetic or surgical review. During the patient's intraoperative course, higher than expected blood pressures were noted and treated with clonidine. After further high blood pressure readings in the postoperative care unit, close surveillance of blood pressures for the following 24 h was arranged. The hypertension was ongoing, and further examination and investigation confirmed the diagnosis of coarctation of the aorta. We examine the possible reasons for failure to diagnose this patient's hypertension preoperatively and suggest that there is a need for greater surveillance of blood pressures in the paediatric population presenting for surgery. A discussion of the significance of hypertension in paediatrics and recommendations for minimum standards of care to address shortcomings in the diagnosis and treatment of paediatric hypertension are proposed. |
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Authors:
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Michael Rose; David Murrell |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Paediatric anaesthesia Volume: 14 ISSN: 1155-5645 ISO Abbreviation: Paediatr Anaesth Publication Date: 2004 Apr |
Date Detail:
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Created Date: 2004-04-13 Completed Date: 2004-07-22 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9206575 Medline TA: Paediatr Anaesth Country: France |
Other Details:
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Languages: eng Pagination: 357-60 Citation Subset: IM |
Affiliation:
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Provisional Fellow in Anaesthesia Royal North Shore Hospital Sydney, NSW, Australia. drmichaelrose@yahoo.com.au |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Coarctation
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complications*,
diagnosis Blood Pressure / physiology Child Chronic Disease Humans Hypertension / etiology* Intraoperative Complications* Male Parotid Gland / surgery Parotitis / surgery Postoperative Complications Preoperative Care |
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