Hypertension Treatment

Anaesthesia and Hypertension

Anaesthesia may be defined as the absence of sensation. It is commonly used to prevent pain during surgical operation and reduce associated stress. It is a very safe procedure, though, sometimes, various side effects may also surface. To avert unnecessary complications, consistent monitoring is done while administering anaesthesia.

The monitoring involves ECG check to monitor heart rate and rhythm, blood pressure, and pulse rate. Monitoring is done throughout the induction, maintenance, and recovery periods.

If the patient is hypertensive or suffering from high blood pressure, a little extra care needs to be exercised. Controlled hypertension is not a hindrance for any kind of surgery involving the use of anaesthesia. Such patients should continue medication till the day of surgery, including the day of surgery.

For cases of high blood pressure, hypertensive medication must be taken before the surgery to keep blood pressure under control during the surgery and recovery.

Patients, with untreated or improperly treated high blood pressure, may experience major swings in blood pressure when subjected to anaesthesia. Such persons may develop serious arterial hypotension while being given spinal or epidural  anaesthesia.

Elective surgery is not advisable for patients suffering from significant high blood pressure. In such cases, the doctor may need to wait for some time till the blood pressure is brought within controlled limits before undertaking such a surgery.

Only deft and skilled hands can best handle cases of high blood pressure. Anaesthesia is administered slowly because large doses, about 10 to 20 ml, of local  anaesthesia, if injected erroneously, can cause heart attack. Another point to bear in mind while giving  anaesthesia is there should not be a significant decrease in the arterial pressure.

High blood pressure during anaesthesia may result due to insufficient amount of anesthetic or raised carbon dioxide levels. These factors associated with high blood pressure should be rectified and controlled before administering anti-hypertensive drugs.

With a little caution, cases of hypertension can be handled smoothly by an experienced anaesthetist. And, the surgery can be performed efficiently, with no unnecessary complications or adverse side effects.