Kiểm soát huyết áp trong perioperative: Khi nào nó sẽ ảnh hưởng xấu đến kết quả perioperative?

Current Hypertension Reports - Tập 10 - Trang 480-487 - 2008
John W. Sear1
1Nuffield Department of Anaesthetics, University of Oxford, John Radcliffe Hospital, Headington, Oxford, UK

Tóm tắt

Đã có nhiều bài báo được công bố về tác động của điều trị đối với các kết quả bất lợi ở những bệnh nhân mắc bệnh tim mạch. Tăng huyết áp là một tình trạng rất phổ biến ảnh hưởng đến một tỷ lệ đáng kể dân số thế giới. Mặc dù có các hướng dẫn chăm sóc cho bệnh nhân y khoa có huyết áp cao, nhưng không có hướng dẫn được chấp nhận cho việc đánh giá trước phẫu thuật và chăm sóc perioperative cho bệnh nhân bị tăng huyết áp khi trải qua phẫu thuật không liên quan đến tim. Quan trọng nhất là xác định các nhóm bệnh nhân có nguy cơ cao và các chỉ định cho việc hoãn phẫu thuật nhằm điều trị và do đó giảm thiểu rủi ro này. Bài tổng quan này xem xét sự tương tác giữa tăng huyết áp, liệu pháp thuốc, gây mê và các kết quả bất lợi ở những bệnh nhân này. Các khuyến nghị về việc xác định những bệnh nhân có nguy cơ cao nhất đối với các sự cố tim mạch bất lợi và tỷ lệ tử vong tim mạch đã được phát triển thông qua việc đánh giá dữ liệu có sẵn. Dựa trên những phát hiện này, chỉ những bệnh nhân có thể hoãn phẫu thuật và mức độ tăng huyết áp cần được điều trị trước khi phẫu thuật là những người có tăng huyết áp giai đoạn 2 và có tổn thương cơ quan đích kèm theo, hoặc tăng huyết áp giai đoạn 3 (huyết áp > 180/> 110 mm Hg).

Từ khóa

#tăng huyết áp #phẫu thuật không tim #kết quả bất lợi #điều trị nguy cơ #kiểm soát perioperative

Tài liệu tham khảo

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