[Systemic hypertension and anesthesia.].

Abstract:

BACKGROUND AND OBJECTIVES:Due to the high incidence of systemic hypertension and the lack of consensus on pressure levels to be accepted before inducing anesthesia for elective procedures, literature associated to hypertension and anesthesia was reviewed. Considering that canceling a surgery implies expenses making Medicine increasingly more expensive and that, on the other hand, anesthesia should be induced in the safest possible manner, this study aimed at evaluating literature evidences to orient clinical practice. CONTENTS:Incidence and classification of systemic hypertension in addition to reports and comments on relevant studies approaching hypertension in surgical patients are presented. CONCLUSIONS:Maximum pressure levels compatible with elective procedures are still not established and today criteria to cancel surgery of poorly controlled hypertensive patients are more based on empirical data than on evidences. There is a trend to cancel the procedure when BP is above 180/110 mmHg, but situations should be evaluated in a case-by-case basis, giving more importance to target-organs injury than to blood pressure itself.

journal_name

Rev Bras Anestesiol

authors

Lorentz MN,Santos AX

doi

10.1590/s0034-70942005000500014

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

586-94

issue

5

eissn

0034-7094

issn

1806-907X

pii

S0034-70942005000500014

journal_volume

55

pub_type

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