Perioperative hypertension management

Vasc Health Risk Manag. 2008;4(3):615-27. doi: 10.2147/vhrm.s2471.

Abstract

Perioperative hypertension is commonly encountered in patients that undergo surgery. While attempts have been made to standardize the method to characterize the intraoperative hemodynamics, these methods still vary widely. In addition, there is a lack of consensus concerning treatment thresholds and appropriate therapeutic targets, making absolute recommendations about treatment difficult. Nevertheless, perioperative hypertension requires careful management. When treatment is necessary, therapy should be individualized for the patient. This paper reviews the pharmacologic agents and strategies commonly used in the management of perioperative hypertension.

Keywords: hypertension; hypertensive crises; intraoperative; perioperative; postoperative; surgery.

Publication types

  • Review

MeSH terms

  • Adrenergic beta-Antagonists / pharmacology
  • Antihypertensive Agents / pharmacology*
  • Antihypertensive Agents / therapeutic use
  • Enalaprilat / pharmacology
  • Enalaprilat / therapeutic use
  • Fenoldopam / pharmacology
  • Fenoldopam / therapeutic use
  • Hemodynamics / drug effects
  • Humans
  • Hydralazine / pharmacology
  • Hydralazine / therapeutic use
  • Hypertension / drug therapy*
  • Hypertension / epidemiology
  • Incidence
  • Labetalol / administration & dosage
  • Labetalol / pharmacology
  • Nicardipine / pharmacology
  • Nicardipine / therapeutic use
  • Nitroglycerin / pharmacology
  • Nitroprusside / pharmacology
  • Perioperative Care
  • Postoperative Complications / drug therapy*
  • Propanolamines / pharmacology
  • Pyridines / pharmacology
  • Pyridines / therapeutic use
  • Surgical Procedures, Operative*
  • Vascular Resistance / drug effects
  • Vasodilator Agents / pharmacology

Substances

  • Adrenergic beta-Antagonists
  • Antihypertensive Agents
  • Propanolamines
  • Pyridines
  • Vasodilator Agents
  • Nitroprusside
  • clevidipine
  • Hydralazine
  • Nicardipine
  • Nitroglycerin
  • Enalaprilat
  • Fenoldopam
  • esmolol
  • Labetalol