ISSN (print) 1726-9806     ISSN (online) 1818-474X
No. 3 (2024), CLINICAL GUIDELINES
No. 3 (2024)
CLINICAL GUIDELINES

Perioperative management of patients with hypertension. Guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists”

Published 31.07.2024
Igor B. Zabolotskikh
Kuban State Medical University, Krasnodar, Russia; Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; Krasnodar Regional Clinical Hospital No. 2, Krasnodar, Russia
https://orcid.org/0000-0002-3623-2546
A.E. Bautin
Almazov National Medical Research Centre, St. Petersburg, Russia
https://orcid.org/0000-0001-5031-7637
E.V. Grigoryev
Research Institute for Complex Issues of Cardiovascular Diseases, Kemerovo, Russia; Kemerovo State Medical Academy, Kemerovo, Russia
https://orcid.org/0000-0001-8370-3083
A.I. Gritsan
Voyno-Yasenetsky Krasnoyarsk State Medical University, Krasnoyarsk, Russia
https://orcid.org/0000-0002-0500-2887
K.M. Lebedinskii
Federal Research and Clinical Center of Intensive Care Medicine and Rehabilitology, Moscow, Russia; North-Western State Medical University named after I.I. Mechnikov, St. Petersburg, Russia
https://orcid.org/0000-0002-5752-4812
V.I. Potievskaya
P.A. Hertsen Moscow Oncology Research Center — branch of National Medical Research Radiological Centre, Moscow, Russia
https://orcid.org/0000-0002-2459-7273
V.V. Subbotin
Loginov Moscow Clinical Scientific Center, Moscow, Russia
https://orcid.org/0000-0002-0921-7199
V.E. Khoronenko
P.A. Hertsen Moscow Oncology Research Center — branch of National Medical Research Radiological Centre, Moscow, Russia
https://orcid.org/0000-0001-8845-9913
D.E. Fedunets
Kuban State Medical University, Krasnodar, Russia; Krasnodar Regional Clinical Hospital No. 2, Krasnodar, Russia
https://orcid.org/0000-0002-3285-0603
2024-3
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Keywords

arterial hypertension
blood pressure
antihypertensive therapy
beta blockers
diuretics
angiotensin-converting enzyme inhibitors
angiotensin receptor blockers
calcium antagonists
perioperative period
anesthesia
intensive care
non-cardiac surgery

How to Cite

1.
Zabolotskikh I.B., Bautin A.E., Grigoryev E.V., Gritsan A.I., Lebedinskii K.M., Potievskaya V.I., Subbotin V.V., Khoronenko V.E., Fedunets D.E. Perioperative management of patients with hypertension. Guidelines of the All-Russian Public Organization “Federation of Anesthesiologists and Reanimatologists.” Annals of Critical Care. 2024;(3):7-26. doi:10.21320/1818-474X-2024-3-7-26
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Abstract

Arterial hypertension is the most common and socially significant disease among the adult population, which is associated with the development of cardiovascular and other complications during non-cardiac surgery. In 2020, the all-Russian public organization Federation of Anesthesiologists and Intensive Care Specialists developed recommendations for the perioperative management of patients with concomitant hypertension, which have no analogues in the world literature.

In the second edition, from the standpoint of evidence-based medicine, the section of preoperative assessment was expanded by substantiating functional tests and instruments for stratification of cardiac risk, the tactics of antihypertensive therapy in the perioperative period were clarified, safe target thresholds of blood pressure during anesthesia were reasoned, including the variability and duration of this indicator.

The recommendations are intended for anesthesiologists and intensive care specialists, but they will also be useful for students, clinical residents, graduate students and doctors of all surgical specialties.

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