Anesthetic management of operations in patients with concomitant arterial hypertension.
DOI:
https://doi.org/10.15587/2313-8416.2015.48819Keywords:
Keywords, arterial hypertension, pre-operative anti-hypertension therapy, anesthesia at contaminant arterial hypertensionAbstract
Tactical approaches to anesthetic management of patients with contaminant arterial hypertension (AH) are considered in this work.
The aim of research was the generalization of data of scientific literature and our own experience in anesthetic management of patients with contaminant AH and elaboration of practical recommendations for preparation and intra-operative conducting of this contingent of patients.
Methods. The work is based on the results of clinic studies that were carried out in 208 cardiosurgical patients 56-69 years old with contaminant AH.
Our own experience and the base of internet-data in “Google” and “PubMed” were analyzed.
Results. As the result of the work there were elaborated the practical recommendations for pre-operative preparation and anesthetic management of patients with contaminant AH.
Conclusions. An introduction of the elaborated record into practice allowed to reduce the number of complications in patients with AH from 28,7% to 7,4% and gave a possibility for successful operations of patients with heavy forms of AH
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