Cardiovascular anesthetic complications and treatment in oral surgery.

Edward C Adlesic

Journal: Oral and maxillofacial surgery clinics of North America 2014;25(3):487-506, vii

PMID: 23684368

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Abstract

Perioperative hypertension is a common problem. If hypertension is left untreated in patients at risk, infarctions and stroke are possible. There are limited choices of antihypertensive agents for the office. Aggressive antihypertensive therapy is not indicated because most of the episodes seen in the office are hypertensive urgencies and not emergencies. Hypotension is usually managed by decreasing the depth of anesthesia, intravenous fluids, and then vasopressors, typically ephedrine or phenylephrine. Consider treatment of hypotension whenever the mean arterial pressure decreases less than 60 mm Hg.

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DOI: 10.1016/j.coms.2013.04.002

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MeSH Terms: Adrenergic beta-Antagonists, Anesthesia, Dental, Antihypertensive Agents, Calcium Channel Blockers, Humans, Hypertension, Hypotension, Intraoperative Complications, Oral Surgical Procedures, Postoperative Complications, Vasodilator Agents