Perioperative Beta Blockade

被引：0
|
作者：
Irani, Jennifer Lynn [1 ]
机构：
[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Surg, Boston, MA 02115 USA
来源：
CLINICS IN COLON AND RECTAL SURGERY | 2013年 / 26卷 / 03期
关键词：
beta blockers; perioperative; coronary artery disease; colon and rectal surgery; NONCARDIAC SURGERY; CARDIAC RISK; MORTALITY; VALIDATION; REDUCTION; TRIAL;
D O I：
10.1055/s-0033-1351131
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
The use of preoperative beta (beta) blockade has been through several changes, and it is clear that large, randomized controlled trials on the subject are in need. Currently, a judicious approach to perioperative beta blockade is supported. Continuation of beta blockers is recommended for the patient taking them prior to surgery. Patients undergoing large colorectal procedures, with coronary artery disease or high cardiac risk, should have beta blockers titrated to heart rate and blood pressure. Dosages should be titrated to heart rate and blood pressure rather than using fixed, long-acting dosages. When beta blockers are indicated, they should be initiated weeks before surgery.
引用
收藏
页码：160 / 162
页数：3
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