title: The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society.
abstract: This guideline aims to ensure that patients admitted to hospital for elective surgery are known to have blood pressures below 160 mmHg systolic and 100 mmHg diastolic in primary care. The objective for primary care is to fulfil this criterion before referral to secondary care for elective surgery. The objective for secondary care is to avoid spurious hypertensive measurements. Secondary care should not attempt to diagnose hypertension in patients who are normotensive in primary care. Patients who present to pre-operative assessment clinics without documented primary care blood pressures should proceed to elective surgery if clinic blood pressures are below 180 mmHg systolic and 110 mmHg diastolic.
authors.affiliation: Department of Anaesthesia and Intensive Care, St Mary's Hospital, London, UK.
authors.forename: A
authors.initials: A
authors.lastname: Hartle
authors.affiliation: Whitby Group Practice/British Hypertension Society, Spring Vale Medical Centre, Whitby, UK.
authors.forename: T
authors.initials: T
authors.lastname: McCormack
authors.affiliation: Departments of Anaesthesia, Peri-operative Medicine and Intensive Care, Torbay Hospital, Torquay, UK.
authors.forename: J
authors.initials: J
authors.lastname: Carlisle
authors.affiliation: Institute of Cardiovascular Sciences/British Hypertension Society, University of Manchester, Manchester, UK.
authors.forename: S
authors.initials: S
authors.lastname: Anderson
authors.affiliation: Department of Anaesthesia, Manchester Royal Infirmary, Manchester, UK.
authors.forename: A
authors.initials: A
authors.lastname: Pichel
authors.affiliation: Department of Ageing and Health, Guys' and St Thomas' Hospital/British Hypertension Society, London, UK.
authors.forename: N
authors.initials: N
authors.lastname: Beckett
authors.affiliation: Hampshire, UK.
authors.forename: T
authors.initials: T
authors.lastname: Woodcock
authors.affiliation: Department of Medicine, University of Manchester/British Hypertension Society, Manchester, UK.
authors.forename: A
authors.initials: A
authors.lastname: Heagerty
mesh_terms: D000328:Adult; D000776:Anesthesiology; D001794:Blood Pressure; D001795:Blood Pressure Determination; D017558:Elective Surgical Procedures; D006801:Humans; D006973:Hypertension / Q000175:diagnosis* / Q000628:therapy*; D007494:Ireland; D011300:Preoperative Care / Q000379:methods*; D012955:Societies, Medical; D006113:United Kingdom