Perioperative hypertension management.
Perioperative hypertension is commonly encountered in patients that undergo surgery. While attempts have been made to standardize the method to characterize the intraoperative hemodynamics, these methods still vary widely. In addition, there is a lack of consensus concerning treatment thresholds and appropriate therapeutic targets, making absolute recommendations about treatment difficult. Nevertheless, perioperative hypertension requires careful management. When treatment is necessary, therapy should be individualized for the patient. This paper reviews the pharmacologic agents and strategies commonly used in the management of perioperative hypertension.
Varon
Joseph
J
The University of Texas Health Science Center at Houston, TX, USA. joseph.varon@uth.tmc.edu
Marik
Paul E
PE
D000319:Adrenergic beta-Antagonists / Q000494:pharmacology; D000959:Antihypertensive Agents / Q000494:pharmacology* / Q000627:therapeutic use; D015773:Enalaprilat / Q000494:pharmacology / Q000627:therapeutic use; D018818:Fenoldopam / Q000494:pharmacology / Q000627:therapeutic use; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D006830:Hydralazine / Q000494:pharmacology / Q000627:therapeutic use; D006973:Hypertension / Q000188:drug therapy* / Q000453:epidemiology; D015994:Incidence; D007741:Labetalol / Q000008:administration & dosage / Q000494:pharmacology; D009529:Nicardipine / Q000494:pharmacology / Q000627:therapeutic use; D005996:Nitroglycerin / Q000494:pharmacology; D009599:Nitroprusside / Q000494:pharmacology; D019990:Perioperative Care; D011183:Postoperative Complications / Q000188:drug therapy*; D011412:Propanolamines / Q000494:pharmacology; D011725:Pyridines / Q000494:pharmacology / Q000627:therapeutic use; D013514:Surgical Procedures, Operative; D014655:Vascular Resistance / Q000187:drug effects; D014665:Vasodilator Agents / Q000494:pharmacology
D000319:Adrenergic beta-Antagonists; D000959:Antihypertensive Agents; D011412:Propanolamines; D011725:Pyridines; D014665:Vasodilator Agents; D009599:Nitroprusside; C118563:clevidipine; D006830:Hydralazine; D009529:Nicardipine; D005996:Nitroglycerin; D015773:Enalaprilat; D018818:Fenoldopam; C036604:esmolol; D007741:Labetalol