Perioperative hypertension management.

Paul E Marik, Joseph Varon

Journal: Vascular health and risk management 2008;4(3):615-27

PMID: 18827911

Abstract

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.

Address: The University of Texas Health Science Center at Houston, TX, USA. [email protected]

DOI: 10.2147/vhrm.s2471

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MeSH Terms: Adrenergic beta-Antagonists, Antihypertensive Agents, Enalaprilat, Fenoldopam, Hemodynamics, Humans, Hydralazine, Hypertension, Incidence, Labetalol, Nicardipine, Nitroglycerin, Nitroprusside, Perioperative Care, Postoperative Complications, Propanolamines, Pyridines, Surgical Procedures, Operative, Vascular Resistance, Vasodilator Agents