Hypertension following orthopaedic surgery in children.
Five patients developed hypertension after undergoing orthopaedic surgery. Three of four patients in whom serum renin was assayed had significant elevation, suggesting a possible renal-mediated etiology. Two patients required the addition of an angiotensin-converting enzyme (ACE) inhibitor to control hypertension while continuing the prolonged orthopaedic procedures. The need for careful blood-pressure monitoring of children undergoing orthopaedic surgery is emphasized in this article.
Helal
A
A
Shriners Hospital for Crippled Children, Tampa Unit, Florida 33612-9499.
Guidera
K J
KJ
Campos
A
A
Niroomand-Rad
I
I
Ogden
J A
JA
D000293:Adolescent; D000959:Antihypertensive Agents / Q000627:therapeutic use; D001852:Bone Lengthening; D002648:Child; D002675:Child, Preschool; D003286:Contracture / Q000601:surgery; D016267:External Fixators; D005260:Female; D006801:Humans; D006973:Hypertension / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D007677:Kidney Function Tests; D008297:Male; D009985:Orthopedics; D011183:Postoperative Complications / Q000209:etiology*
D000959:Antihypertensive Agents