Perioperative management of patients with hypertension. Guidelines
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arterial hypertension
blood pressure
antihypertensive therapy
beta blockers
angiotensin-converting enzyme inhibitors
angiotensin receptor blockers
calcium antagonists
perioperative period
intensive care
non-cardiac surgery

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Zabolotskikh IB, Bautin AE, Grigoryev EV, Gritsan AI, Lebedinskii KM, Potievskaya VI, Rudnov VA, Subbotin VV, Khoronenko VE, Shadrin RV Perioperative management of patients with hypertension. Guidelines. Annals of Critical Care. 2020;(2):7–33. doi:10.21320/1818-474X-2020-2-7-33.


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This article described the main theses of clinical guidelines of the Russian Federation of Anesthesiologists and Reanimatologists on the perioperative management of patients with arterial hypertension. The classification of hypertension, the principles of stratification of the risk of perioperative complications associated with the patient’s hypertension in the perioperative period are presented. The principles of clinical, instrumental and laboratory diagnosis of the condition of such patients are described. The principles and approaches to the treatment of emergency and critical conditions associated with hypertension are given. An algorithm for the preoperative assessment of the patient and recommendations for planning surgical interventions in patients with arterial hypertension are given. The principles and algorithms of preoperative preparation are described in detail, including antihypertensive therapy, premedication, especially the choice and management of anesthesia, and management of the early postoperative period. All information presented in the article is based on evidence-based medicine data obtained by domestic and foreign researchers.
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