The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society

被引:102
作者
Hartle, A. [1 ,2 ]
McCormack, T. [3 ,4 ]
Carlisle, J. [5 ,6 ,7 ]
Anderson, S. [8 ,9 ]
Pichel, A. [10 ]
Beckett, N. [11 ]
Woodcock, T.
Heagerty, A. [9 ,12 ]
机构
[1] St Marys Hosp, Dept Anaesthesia, London, England
[2] St Marys Hosp, Dept Intens Care, London, England
[3] Spring Vale Med Ctr, Whitby Grp Practice, Whitby, England
[4] Hull York Med Sch, Kingston Upon Hull, N Humberside, England
[5] Torbay Hosp, Dept Anaesthesia, Torquay, England
[6] Torbay Hosp, Dept Perioperat Med, Torquay, England
[7] Torbay Hosp, Dept Intens Care, Torquay, England
[8] Univ Manchester, Inst Cardiovasc Sci, Manchester, Lancs, England
[9] British Hypertens Soc, Bristol, Avon, England
[10] Manchester Royal Infirm, Dept Anaesthesia, Oxford Rd, Manchester M13 9WL, Lancs, England
[11] Guys & St Thomas Hosp, Dept Ageing & Hlth, London SE1 9RT, England
[12] Univ Manchester, Dept Med, Manchester M13 9PL, Lancs, England
关键词
NATIONAL AUDIT PROJECT; GENERAL-ANESTHESIA; RISK; QUALITY; GRADE;
D O I
10.1111/anae.13348
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
This guideline aims to ensure that patients admitted to hospital for elective surgery are known to have blood pressures below 160mmHg systolic and 100mmHg diastolic in primary care. The objective for primary care is to fulfil this criterion before referral to secondary care for elective surgery. The objective for secondary care is to avoid spurious hypertensive measurements. Secondary care should not attempt to diagnose hypertension in patients who are normotensive in primary care. Patients who present to pre-operative assessment clinics without documented primary care blood pressures should proceed to elective surgery if clinic blood pressures are below 180mmHg systolic and 110mmHg diastolic.
引用
收藏
页码:326 / 337
页数:12
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