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PREDICTORS OF INTRAOPERATIVE HYPERTENSION IN NECK SURGERY: A SINGLE CENTER RETROSPECTIVE STUDY
Tjaša Ivošević1,2, Biljana Miličić3, Aleksandar Trivić1,4
1Faculty of Medicine, University of Belgrade, Belgrade, Serbia.
Acta Clinica Croatica
|January 27, 2025
Summary
Intraoperative hypertension during neck surgery is linked to older age, cardiac issues, and longer anesthesia times. Induced hypotension was found to reduce the risk of this complication.
Area of Science:
- Anesthesiology
- Surgical Risk Management
Background:
- Intraoperative hypertension (IOHTA) during neck surgery increases bleeding risk.
- Identifying predictors of IOHTA is crucial for patient safety.
Purpose of the Study:
- To identify predictors of intraoperative hypertension in patients undergoing neck surgery.
Main Methods:
- Retrospective study of 880 adult patients under general anesthesia.
- Analyzed factors including age, comorbidities, intubation difficulty, anesthesia duration, and induced hypotension.
Main Results:
- IOHTA occurred in 6.7% of patients.
- Predictors included older age, cardiac arrhythmia, difficult intubation (Cormack-Lehane grade), and longer anesthesia duration.
- Induced hypotension significantly reduced the risk of IOHTA.
Conclusions:
- Patients at higher risk for IOHTA include older individuals and those with cardiac arrhythmias or difficult intubations.
- Careful anesthetic management, potentially including induced hypotension, is recommended for high-risk patients during neck surgery.
