Document Detail


Perioperative hypertension. The primary care physician's role.
MedLine Citation:
PMID:  3399467     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Questions concerning the proper management of hypertension in surgical patients often arise in primary care practice. Currently available literature and our own clinical experience lead us to make the following recommendations. 1. Continue antihypertensive therapy up to and including the morning of surgery, when the dose should be given with a small sip of water. 2. If possible, adjust antihypertensive therapy so blood pressure is less than 160/90 mm Hg for at least two weeks prior to surgery. 3. Discontinue all monoamine oxidase inhibitors at least one week prior to surgery and substitute alternative antihypertensive or antidepressant medication as necessary. 4. Be attentive to the patient's preoperative volume status and any evidence of cardiovascular disease. 5. In patients with postoperative hypertension, search for specific aggravating factors and treat them primarily. 6. Discuss with the anesthesiologist any difficulties in blood pressure control.
Authors:
D Thompson; L Ampel
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Postgraduate medicine     Volume:  84     ISSN:  0032-5481     ISO Abbreviation:  Postgrad Med     Publication Date:  1988 Aug 
Date Detail:
Created Date:  1988-09-02     Completed Date:  1988-09-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0401147     Medline TA:  Postgrad Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  261-3, 266-8     Citation Subset:  AIM; IM    
Affiliation:
Division of Anesthesia, Glenbrook Hospital, Glenview, IL 60025.
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MeSH Terms
Descriptor/Qualifier:
Antihypertensive Agents / therapeutic use
Hemodynamics
Humans
Hypertension / complications*,  drug therapy,  physiopathology
Intraoperative Complications
Physician's Role
Physicians, Family*
Postoperative Complications
Preoperative Care
Surgical Procedures, Operative*
Chemical
Reg. No./Substance:
0/Antihypertensive Agents

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


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