The management of surgical patients with concomitant arterial hypertension

1999 ◽  
Vol 56 (1) ◽  
pp. 37-42 ◽  
Author(s):  
Filipovic ◽  
Studer ◽  
Seeberger
Keyword(s):  
Arterial Hypertension ◽  
Perioperative Management ◽  
Surgical Patients ◽  
Chirurgischer Eingriff

Das Vorliegen einer arteriellen Hypertonie ist bei chirurgischen Patienten ein Indikator für ein erhöhtes Risiko perioperativer kardiovaskulärer Komplikationen. Dieser Übersichtsartikel befaßt sich mit den Gründen für dieses erhöhte Risiko und diskutiert das perioperative Management hypertensiver Patienten. Insbesondere wird die ununterbrochene Fortführung einer bestehenden antihypertensiven Therapie empfohlen. Daneben wird das Vorgehen bei Patienten mit präoperativ deutlich erhöhtem Blutdruck besprochen, und es werden Empfehlungen abgegeben, wann ein elektiver chirurgischer Eingriff ohne markant erhöhtes Risiko trotzdem durchgeführt werden kann bzw. wann eine Verschiebung sinnvoll ist.

Fast-track surgery: A new concept of perioperative management of surgical patients

2013 ◽  
Vol 1 (3) ◽  
pp. 114 ◽  
Author(s):  
Gabriel Rodrigues ◽  
Raghunath Prabhu ◽  
Chandini Ravi
Keyword(s):  
Fast Track ◽  
Perioperative Management ◽  
Surgical Patients ◽  
Fast Track Surgery

scholarly journals Recognizing Risks and Optimizing Perioperative Care to Reduce Respiratory Complications in the Pediatric Patient

2020 ◽  
Vol 9 (6) ◽  
pp. 1942 ◽  
Author(s):  
Chinyere Egbuta ◽  
Keira P. Mason
Keyword(s):  
Pediatric Patient ◽  
Perioperative Management ◽  
Prediction Models ◽  
Surgical Patients ◽  
Respiratory Drive ◽  
Ventilation Strategy ◽  
Respiratory Complications ◽  
Pediatric Airway ◽  
Increased Risk ◽  
Modifiable Factors

There have been significant advancements in the safe delivery of anesthesia as well as improvements in surgical technique; however, the perioperative period can still be high risk for the pediatric patient. Perioperative respiratory complications (PRCs) are some of the most common critical events that can occur in pediatric surgical patients and they can lead to increased length of hospitalization, worsened patient outcomes, and higher hospital and postoperative costs. It is important to determine the various factors that put pediatric patients at increased risk of PRCs. This will allow for more detailed and accurate informed consent, optimized perioperative management strategy, improved allocation of clinical resources, and, hopefully, better patient experience. There are only a few risk prediction models/scoring tools developed for and validated in the pediatric patient population, but they have been useful in helping identify the key factors associated with a high likelihood of developing PRCs. Some of these factors are patient factors, while others are procedure-related factors. Some of these factors may be modified such that the patient’s clinical status is optimized preoperatively to decrease the risk of PRCs occurring perioperatively. Fore knowledge of the factors that are not able to be modified can help guide allocation of perioperative clinical resources such that the negative impact of these non-modifiable factors is buffered. Additional training in pediatric anesthesia or focused expertise in pediatric airway management, vascular access and management of massive hemorrhage should be considered for the perioperative management of the less than 3 age group. Intraoperative ventilation strategy plays a key role in determining respiratory outcomes for both adult and pediatric surgical patients. Key components of lung protective mechanical ventilation strategy such as low tidal volume and moderate PEEP used in the management of acute respiratory distress syndrome (ARDS) in pediatric intensive care units have been adopted in pediatric operating rooms. Adequate post-operative analgesia that balances pain control with appropriate mental status and respiratory drive is important in reducing PRCs.

Perioperative Management of Pediatric Surgical Patients with Diabetes Mellitus

2005 ◽  
Vol 101 (4) ◽  
pp. 986-999 ◽  
Author(s):  
Erinn T. Rhodes ◽  
Lynne R. Ferrari ◽  
Joseph I. Wolfsdorf
Keyword(s):  
Diabetes Mellitus ◽  
Perioperative Management ◽  
Surgical Patients ◽  
Patients With Diabetes

scholarly journals Anesthesia and perioperative management of colorectal surgical patients - specific issues (part 2)

2012 ◽  
Vol 28 (3) ◽  
pp. 304 ◽  
Author(s):  
Santosh Patel ◽  
Umakanth Panchagnula ◽  
JanM Lutz ◽  
Sujesh Bansal
Keyword(s):  
Perioperative Management ◽  
Surgical Patients

scholarly journals Perioperative management of patients with hypertension. Guidelines

2020 ◽  
pp. 7-33
Author(s):  
I. B Zabolotskikh ◽  
A. E Bautin ◽  
E. V Grigoryev ◽  
A. I Gritsan ◽  
K. M Lebedinskii ◽  
...  
Keyword(s):  
Arterial Hypertension ◽  
Perioperative Management ◽  
Perioperative Complications ◽  
Preoperative Assessment ◽  
Perioperative Period ◽  
Laboratory Diagnosis ◽  
Early Postoperative Period ◽  
Critical Conditions ◽  
Surgical Interventions ◽  
Based Medicine

This article described the main theses of clinical guidelines of the Russian Federation of Anesthesiologists and Reanimatologists on the perioperative management of patients with arterial hypertension. The classification of hypertension, the principles of stratification of the risk of perioperative complications associated with the patients hypertension in the perioperative period are presented. The principles of clinical, instrumental and laboratory diagnosis of the condition of such patients are described. The principles and approaches to the treatment of emergency and critical conditions associated with hypertension are given. An algorithm for the preoperative assessment of the patient and recommendations for planning surgical interventions in patients with arterial hypertension are given. The principles and algorithms of preoperative preparation are described in detail, including antihypertensive therapy, premedication, especially the choice and management of anesthesia, and management of the early postoperative period. All information presented in the article is based on evidence-based medicine data obtained by domestic and foreign researchers.

Sign in / Sign up

Export Citation Format

Share Document