Hypertension Secondary, Surgery
Conditions
Brief summary
During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected. On the day of the procedure, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
Detailed description
During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected. If the blood pressure figures are balanced in the previous 12 months, they are included in the study and the anesthesiologist informs them of the study protocol and obtains their consent. On the day of the procedure, the patient is admitted to the operating room. We begin warming the patient and carry out standard monitoring, then, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
Interventions
None listed
Sponsors
University Tunis El Manar
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* patients aged 18 or over, consenting * known hypertensive patients. * Patients proposed for planned minor abdominal surgery (≤ 2 hours).
Exclusion criteria
* patients not premedicated (antihypertensive treatment) Non-inclusion criteria: * patient refusal .history of hypertensive emergency within 06 months.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of surgery canceled due to high blood pressure figures in the operating room. | In the operating room | In the operating room, if the blood pressure figures are high(according to BHS recommendations from 2016) the surgery is canceled |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Score d'anxiété: Amsterdam Preoperative Anxiety and Information Scale (APAIS) | before entering the operating room | The APAIS scale is presented in the form of a questionnaire composed of six questions, the first three of which assess the patient's anxiety relating to anesthesia, the following two assess the patient's anxiety relating to surgery, and finally a last question assesses the patient's desire for information. The minimum score is 6 and the maximum is 20. If the score is greater than 11, this means that the patient's level of anxiety is high |
| The quality of reception in the operating room | before entering the operating room | Patient satisfaction: Bad/average/good |
| History of cancellation for hypertension in the operating room | Pre-operative, at the anesthesia consultation | presence or absence of a history of cancellation for high blood pressure figures |
| specify the anti-hypertension molecule | Pre-operative, at the anesthesia consultation | the antihypertensive molecule taken by the patient as background treatment |
| Control and monitoring of hypertension Control and monitoring of hypertension Control and monitoring of hypertension | During the pre-anesthesia consultation | The patient is followed-up in town: by a general practitioner or a cardiologist |
| Entrance to the operating room: on foot, chair or trolley | before entering the operating room | Arrival at the operating room: on foot, chair or trolley |
| Day of the week | before entering the operating room | Day of the week: from Monday to Saturday |
| Waiting time before entering the operating room (in minutes) | before entering the operating room | waiting time before entering the operating room: in minutes |
Countries
Tunisia
Contacts
PRINCIPAL_INVESTIGATORBENALI MECHAAL, Professor
maamouri nabeul
Outcome results
None listed