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Anesthetic Management of the Hypertensive Patient: Part II

Russell Yancey1

  • 1Doctor of Dental Surgery, Indiana University School of Dentistry, PGY-3 Resident, New York University-Langone Hospital Dental Anesthesiology Service, Brooklyn, New York.

Anesthesia Progress
|September 21, 2018
PubMed

Insights

This review covers hypertension management, focusing on blood pressure regulation and medications. Anesthesia providers will gain knowledge on treating hypertensive patients and understanding anesthetic implications.

Area of Science:

  • Anesthesiology
  • Cardiology
  • Pharmacology

Background:

  • Hypertension is a global health challenge and a major cardiovascular disease risk factor.
  • Anesthesia providers require knowledge of hypertension's systemic effects.
  • This review is divided into two parts, with Part I covering hypertension overview, blood pressure regulation, and renal mechanism drugs.

Purpose of the Study:

  • To provide anesthesia providers with a comprehensive understanding of hypertension.
  • To discuss the medical definitions, physiology, and outpatient treatment of hypertension.
  • To review major antihypertensive medications and their anesthetic implications.

Main Methods:

  • Literature review of hypertension definitions, physiology, and treatments.
  • Discussion of antihypertensive medications, including diuretics, ACE inhibitors, ARBs, and renin inhibitors.
  • Analysis of anesthetic implications for patients with hypertension.

Main Results:

  • Part I reviewed hypertension basics and drugs acting via renal mechanisms.
  • Part II will review remaining antihypertensive drugs and anesthetic considerations.
  • A thorough understanding of hypertension and its management is crucial for safe anesthesia.

Conclusions:

  • Anesthesia providers must understand hypertension's systemic effects and management.
  • Knowledge of various antihypertensive medications is essential for patient care.
  • This review aims to enhance the safe anesthetic management of hypertensive patients.

Keywords:
AntihypertensivesGeneral anesthesiaHypertensionReviewSedation

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