title: Blood pressure as a parameter in dermatologic surgery.
abstract: Elevated blood pressure is a major cause of perioperative bleeding and postoperative hematoma. Seventy-five patients scheduled for dermatologic surgical procedures were prospectively asked if they were aware of any personal history of hypertension. If patient response alone is relied on as a preoperative screen for hypertension, over half of the individuals affected with this disease will be missed. Epinephrine-containing local anesthetics were found not to increase blood pressure in doses commonly employed by dermatologists; in fact, they lowered blood pressure in hypertensive individuals.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000494:pharmacology; D001794:Blood Pressure / Q000187:drug effects; D062109:Dermatologic Surgical Procedures; D004837:Epinephrine / Q000494:pharmacology; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D008875:Middle Aged; D011300:Preoperative Care; D011446:Prospective Studies
chemical_list: D000779:Anesthetics, Local; D004837:Epinephrine