Acute Arterial Hypertension in Patients undergoing Neurosurgery
Abstract Introduction Between 20–50% of neurosurgical patients may develop early perioperative complications, and ∼ 25% have more than one clinical complication. The most commons are high blood pressure (25%) and cardiovascular events (7%). Intraoperative hypertension is characterized b...
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doaj-4c08b5a0099648e2ac56b66918dbabab2021-04-02T12:22:46ZengThieme Revinter Publicações Ltda.Brazilian Neurosurgery0103-53552359-59222016-09-01350429630310.1055/s-0036-1592412Acute Arterial Hypertension in Patients undergoing NeurosurgeryNícollas Nunes Rabelo0Luciano José Silveira Filho1George Santos dos Passos2Luiz Antônio Araujo Dias Junior3Carlos Umberto Pereira4Luiz Antônio Araujo Dias5Eberval Gadelha Figueiredo6Department of Neurosurgery, Hospital Santa Casa, Ribeirão Preto, São Paulo, BrazilDepartment of Neurosurgery, Hospital Santa Casa, Ribeirão Preto, São Paulo, BrazilDepartment of Neurosurgery, Hospital Santa Casa, Ribeirão Preto, São Paulo, BrazilDepartment of Neurosurgery, Hospital Santa Casa, Ribeirão Preto, São Paulo, BrazilDepartment of Neurosurgery, Fundação de Beneficência Hospital de Cirurgia, Neurosurgery Service, Aracaju, Sergipe, BrazilDepartment of Neurosurgery, Hospital Santa Casa, Ribeirão Preto, São Paulo, BrazilDivision of Neurosurgery, Universidade de São Paulo, São Paulo, SP, BrazilAbstract Introduction Between 20–50% of neurosurgical patients may develop early perioperative complications, and ∼ 25% have more than one clinical complication. The most commons are high blood pressure (25%) and cardiovascular events (7%). Intraoperative hypertension is characterized by an increase of 20% in basal blood pressure. Objectives The aim of this paper is to review and discuss the pathophysiology, diagnosis and treatment of perioperative hypertension in patients undergoing neurosurgery, and to propose one table with therapeutic options. Methods A review using Scielo, PubMed, Ebsco and Artmed databases with inclusion and exclusion criteria. Articles published from 1957 to 2015 were selected. Discussion Five factors were established as causes: arterial hypertension, clinical conditions, surgical procedures, and operative and anesthetic factors. Specific causes preoperative, intraoperative and posoperative. The pathophysiology may have some relationship with catecholamines and sympathetic nervous system stimulation. Conclusion Perioperative hypertension in neurosurgery may have many causes, some of them recognizable and preventable. This increased pressure may be associated with intracranial hematomas in some cases. The recognition and treatment of this disease can be helpful in the management of the postoperative period.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1592412postoperative periodarterial hypertensionneurosurgeryemergence hypertension |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Nícollas Nunes Rabelo Luciano José Silveira Filho George Santos dos Passos Luiz Antônio Araujo Dias Junior Carlos Umberto Pereira Luiz Antônio Araujo Dias Eberval Gadelha Figueiredo |
spellingShingle |
Nícollas Nunes Rabelo Luciano José Silveira Filho George Santos dos Passos Luiz Antônio Araujo Dias Junior Carlos Umberto Pereira Luiz Antônio Araujo Dias Eberval Gadelha Figueiredo Acute Arterial Hypertension in Patients undergoing Neurosurgery Brazilian Neurosurgery postoperative period arterial hypertension neurosurgery emergence hypertension |
author_facet |
Nícollas Nunes Rabelo Luciano José Silveira Filho George Santos dos Passos Luiz Antônio Araujo Dias Junior Carlos Umberto Pereira Luiz Antônio Araujo Dias Eberval Gadelha Figueiredo |
author_sort |
Nícollas Nunes Rabelo |
title |
Acute Arterial Hypertension in Patients undergoing Neurosurgery |
title_short |
Acute Arterial Hypertension in Patients undergoing Neurosurgery |
title_full |
Acute Arterial Hypertension in Patients undergoing Neurosurgery |
title_fullStr |
Acute Arterial Hypertension in Patients undergoing Neurosurgery |
title_full_unstemmed |
Acute Arterial Hypertension in Patients undergoing Neurosurgery |
title_sort |
acute arterial hypertension in patients undergoing neurosurgery |
publisher |
Thieme Revinter Publicações Ltda. |
series |
Brazilian Neurosurgery |
issn |
0103-5355 2359-5922 |
publishDate |
2016-09-01 |
description |
Abstract
Introduction Between 20–50% of neurosurgical patients may develop early perioperative complications, and ∼ 25% have more than one clinical complication. The most commons are high blood pressure (25%) and cardiovascular events (7%). Intraoperative hypertension is characterized by an increase of 20% in basal blood pressure.
Objectives The aim of this paper is to review and discuss the pathophysiology, diagnosis and treatment of perioperative hypertension in patients undergoing neurosurgery, and to propose one table with therapeutic options.
Methods A review using Scielo, PubMed, Ebsco and Artmed databases with inclusion and exclusion criteria. Articles published from 1957 to 2015 were selected.
Discussion Five factors were established as causes: arterial hypertension, clinical conditions, surgical procedures, and operative and anesthetic factors. Specific causes preoperative, intraoperative and posoperative. The pathophysiology may have some relationship with catecholamines and sympathetic nervous system stimulation.
Conclusion Perioperative hypertension in neurosurgery may have many causes, some of them recognizable and preventable. This increased pressure may be associated with intracranial hematomas in some cases. The recognition and treatment of this disease can be helpful in the management of the postoperative period. |
topic |
postoperative period arterial hypertension neurosurgery emergence hypertension |
url |
http://www.thieme-connect.de/DOI/DOI?10.1055/s-0036-1592412 |
work_keys_str_mv |
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1721569210002309120 |