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Anesthetic Management of the Hypertensive Patient: Part I

Russell Yancey1

  • 1PGY-2 Resident, New York University-Langone Hospital Dental Anesthesiology Service, Brooklyn, New York.

Anesthesia Progress
|June 29, 2018
PubMed

Insights

Hypertension management is crucial for anesthesia providers. This review covers blood pressure regulation, outpatient treatments, and anesthetic implications of common antihypertensive medications.

Area of Science:

  • Cardiology
  • Anesthesiology
  • Pharmacology

Background:

  • Hypertension affects millions globally, posing significant cardiovascular disease risks.
  • Anesthesia providers require comprehensive knowledge of hypertension's systemic effects.

Purpose of the Study:

  • To review the medical definitions and physiology of hypertension.
  • To discuss outpatient treatments and anesthetic implications for hypertensive patients.
  • To detail common antihypertensive medications used in anesthesia.

Main Methods:

  • Literature review of hypertension definitions and physiology.
  • Analysis of outpatient hypertension management strategies.
  • Review of antihypertensive drug classes and their anesthetic considerations.

Main Results:

  • Diuretics, ACE inhibitors, ARBs, and renin inhibitors primarily affect renal control.
  • Other major antihypertensive drug classes are reviewed in Part II.
  • Anesthetic implications for managing hypertensive patients are detailed.

Conclusions:

  • Understanding hypertension and its management is vital for safe anesthesia.
  • Knowledge of various antihypertensive medications aids in patient care.
  • This review provides essential information for anesthesia providers managing hypertensive patients.

Keywords:
AnestheticAntihypertensivesHypertensionReview

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