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Titolo:
Treatment of hypertension in the perioperative patient
Autore:
Erstad, BL; Barletta, JF;
Indirizzi:
Univ Arizona, Coll Pharm, Tucson, AZ 85721 USA Univ Arizona Tucson AZ USA85721 rizona, Coll Pharm, Tucson, AZ 85721 USA Detroit Receiving Hosp, Dept Pharm Serv, Detroit, MI USA Detroit ReceivingHosp Detroit MI USA , Dept Pharm Serv, Detroit, MI USA
Titolo Testata:
ANNALS OF PHARMACOTHERAPY
fascicolo: 1, volume: 34, anno: 2000,
pagine: 66 - 79
SICI:
1060-0280(200001)34:1<66:TOHITP>2.0.ZU;2-#
Fonte:
ISI
Lingua:
ENG
Soggetto:
SEVERE SYSTEMIC HYPERTENSION; CONVERTING ENZYME-INHIBITOR; CORONARY-ARTERY SURGERY; INTRAVENOUS FENOLDOPAM MESYLATE; CARDIAC SURGICAL PROCEDURES; BLOOD-PRESSURE REDUCTION; POSTOPERATIVE HYPERTENSION; MYOCARDIAL-ISCHEMIA; SODIUM-NITROPRUSSIDE; CAROTID ENDARTERECTOMY;
Keywords:
hypertension; surgery;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
101
Recensione:
Indirizzi per estratti:
Indirizzo: Erstad, BL Univ Arizona, Coll Pharm, 1703 E Mabel St,POB 210207, Tucson, AZ 85721 USA Univ Arizona 1703 E Mabel St,POB 210207 Tucson AZ USA 85721 USA
Citazione:
B.L. Erstad e J.F. Barletta, "Treatment of hypertension in the perioperative patient", ANN PHARMAC, 34(1), 2000, pp. 66-79

Abstract

OBJECTIVE: To review studies and drug therapy relating to the treatment ofhypertension in perioperative patients. DATA SOURCES: Articles were selected from a MEDLINE search (1966-August 1998), and several textbooks on hypertension and surgery were reviewed. In addition, bibliographies of all articles and textbook chapters were studied for articles not found in the computerized searches. STUDY SELECTION: Clinical studies involving hypertension in the perioperative setting were included. The initial search was limited to conducted in humans and published in English. DATA EXTRACTION: information regarding drug therapy was reviewed and guidelines were constructed for managing surgical patients with acute blood pressure elevations. DATA SYNTHESIS: Although nitroprusside and nitroglycerin: with their shortonset of action and duration of effect, are indicated for hypertensive emergencies, a variety of agents are available for hypertensive urgencies. An algorithm that can be used as a template for the development of intrainstitutional guidelines is provided. CONCLUSIONS: Due to the scarcity of comparative trials, decisions involving agents for the treatment of perioperative hypertension must often be madebased on combined efficacy, toxicity, cost, and convenience considerations.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/07/20 alle ore 22:19:38