The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society.

The measurement of adult blood pressure and management of hypertension before elective surgery: Joint Guidelines from the Association of Anaesthetists of Great Britain and Ireland and the British Hypertension Society.
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DOI:
10.1111/anae.13348
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发表时间:
2016-03
期刊:
影响因子:
10.7
通讯作者:
Heagerty A
Heagerty A
中科院分区:
医学1区
文献类型:
--
作者:
Hartle A;McCormack T;Carlisle J;Anderson S;Pichel A;Beckett N;Woodcock T;Heagerty A

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本指南旨在确保住院接受择期手术的患者在初级保健中收缩压低于160 mmHg,舒张压低于100 mmHg。初级保健的目标是在转诊到二级保健进行择期手术之前满足这一标准。二级保健的目的是避免虚假的高血压测量。在初级保健中血压正常的患者,二级保健不应试图诊断高血压。在术前评估诊所就诊时没有记录的初级保健血压的患者,如果临床血压低于180 mmHg收缩压和110 mmHg舒张压,则应进行选择性手术。
This guideline aims to ensure that patients admitted to hospital for elective surgery are known to have blood pressures below 160 mmHg systolic and 100 mmHg diastolic in primary care. The objective for primary care is to fulfil this criterion before referral to secondary care for elective surgery. The objective for secondary care is to avoid spurious hypertensive measurements. Secondary care should not attempt to diagnose hypertension in patients who are normotensive in primary care. Patients who present to pre‐operative assessment clinics without documented primary care blood pressures should proceed to elective surgery if clinic blood pressures are below 180 mmHg systolic and 110 mmHg diastolic.
DOI: 10.1097/00000542-197904000-00002
发表时间: 1979-01-01
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