[Hypertension and anesthesia: consensus statement of the Catalan Associations of Anesthesiology and Hypertension].
The prevalence of hypertension is high in the surgical population. Differing practices and the absence of consensus among physicians involved in caring for hypertensive patients has made it one of the most frequent reasons for cancelling scheduled surgery. The aim of this consensus statement is to outline a practical approach to managing the hypertensive surgical patient. Hypertension is associated with increased risk of perioperative complications, particularly those related to systemic effects and notable fluctuations in blood pressure during surgery. Preoperative assessment should center on a search for signs and symptoms of target organ damage. The anesthesiologist should seek to reduce perioperative fluctuations in arterial pressure, particularly guarding against sustained hypotension. After surgery, antihypertensive medication should be resumed as soon as possible.
Sierra
P
P
Servicio de Anestesiología y Reanimación, Fundación Puigvert, Barcelona. psierraa@gmail.com
Galcerán
J M
JM
Sabaté
S
S
Martínez-Amenós
A
A
Castaño
J
J
Gil
A
A
D000465:Algorithms; D000758:Anesthesia / Q000379:methods* / Q000592:standards*; D006801:Humans; D006973:Hypertension; D007430:Intraoperative Care; D011182:Postoperative Care; D011300:Preoperative Care; D012307:Risk Factors