Document Detail

Perioperative hypertension due to undiagnosed aortic coarctation: are current standards of care adequate?
MedLine Citation:
PMID:  15078384     Owner:  NLM     Status:  MEDLINE    
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.
Michael Rose; David Murrell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Paediatric anaesthesia     Volume:  14     ISSN:  1155-5645     ISO Abbreviation:  Paediatr Anaesth     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-04-13     Completed Date:  2004-07-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9206575     Medline TA:  Paediatr Anaesth     Country:  France    
Other Details:
Languages:  eng     Pagination:  357-60     Citation Subset:  IM    
Provisional Fellow in Anaesthesia Royal North Shore Hospital Sydney, NSW, Australia.
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MeSH Terms
Aortic Coarctation / complications*,  diagnosis
Blood Pressure / physiology
Chronic Disease
Hypertension / etiology*
Intraoperative Complications*
Parotid Gland / surgery
Parotitis / surgery
Postoperative Complications
Preoperative Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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