CONDUCTA ANESTÉSICA EN EL PACIENTE HIPERTENSO NECESITADO DE CIRUGÍA URGENTE.

Item request has been placed! ×
Item request cannot be made. ×
loading   Processing Request
  • Additional Information
    • Alternate Title:
      ANESTHETIC MANAGEMENT IN HYPERTENSIVE PATIENTS IN URGENT NEED OF SURGERY.
    • Subject Terms:
    • Abstract:
      Introduction and Objectives: The increase in hypertension in recent years has had an effect on the large number of hypertensive surgical patients scheduled for emergency surgery. The purpose of this research was to implement a protocol for the treatment and control of hypertensive patients in this type of surgery. Method: A comparative study in hypertensive patients scheduled for emergency surgery was designed. 100 patients, divided into two groups were studied. Group I, consisted of patients who received 25 mg of sublingual captopril, 30 minutes before the surgical procedure, and Group II, was formed by those who did not receive it. The response variables were systolic and diastolic blood pressures and heart rate on arrival in the operating room and during surgery. Results: There was a greater perioperative hemodynamic stability in group I. Intraoperative complications appeared in 30 % of patients in the first group and in 66 % in the second group. In the postoperative period, 26 % of patients had complications in group I and 52% in group II. These differences were statistically significant p < 0,05. Conclusions: the advantages, benefits and hemodynamic stability were demonstrated, when hypertensive patients, scheduled for emergency surgery, come to the operating room with high blood pressure, and sublingual captopril is administered 30 minutes before surgery. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Introducción y objetivos: El incremento de la hipertensión arterial en los últimos años ha repercutido en el elevado número de pacientes quirúrgicos hipertensos anunciados para cirugía de urgencia. El objetivo de esta investigación fue aplicar un protocolo para el tratamiento y control del paciente hipertenso en este tipo de cirugía. Método: Se diseñó un estudio comparativo en pacientes hipertensos anunciados para cirugía de urgencia. Se estudiaron 100, que fueron divididos en dos grupos: el I, estuvo integrado por aquellos pacientes que recibieron 25 mg de captopril sublingual, 30 minutos antes del procedimiento quirúrgico, y el II, se conformó con los que no lo recibieron. Las variables respuestas fueron, presión arterial sistólica, diastólica y frecuencia cardíaca, a su llegada al quirófano y en el intraoperatorio. Resultados: Existió mayor estabilidad hemodinámica perioperatoria en el grupo I. Las complicaciones intraoperatorias aparecieron en el 30 % de los pacientes del primer grupo y en el 66 %, del segundo; en el postoperatorio, el 26 % de los pacientes presentó complicaciones en el grupo I y 52 %, en el II. Estas diferencias resultaron estadísticamente significativas p < 0,05. Conclusiones: Se demostraron las ventajas, los beneficios y la estabilidad hemodinámica cuando el paciente hipertenso, anunciado para cirugía urgente, llega al quirófano con cifras de presión arterial elevadas, y se le administra captopril sublingual 30 minutos antes de la intervención. [ABSTRACT FROM AUTHOR]
    • Abstract:
      Copyright of CorSalud is the property of Cardiocentro Ernesto Che Guevara and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)