Blood Pressure Monitoring for the Anesthesiologist: A Practical Review

Bartels, K. et. al. Blood Pressure Monitoring for the Anesthesiologist: A Practical Review.

 Anesthesia & Analgesia: June 2016 – Volume 122 – Issue 6 – p 1866–1879

Periodic, quantitative measurement of blood pressure (BP) in humans, predating the era of evidence-based medicine by over a century, is a component of the American Society of Anesthesiologists standards for basic anesthetic monitoring and is a staple of anesthetic management worldwide.

image source: Jason Saul – Flickr // CC BY-ND 2.0

This narrative review article discusses the details of BP measurement and the advantages and disadvantages of both noninvasive and invasive monitoring, as well as the principles and algorithms associated with each technique.

Only patients with BP below 160/100 should be referred for surgery to avoid cancellations, guidelines say

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GPs should include information on a patient’s blood pressure (BP) in referral letters for elective surgery and should refer only those with BP lower than 160/100 mm Hg over the previous 12 months, say new guidelines that aim to reduce surgery cancellations due to high BP.

guidelines Image source: Anaesthesia

Nearly 1% of planned surgery in the NHS is currently cancelled at the last minute, and hypertension is a common reason.

“Across the UK this equates to approximately 100 concerned and inconvenienced patients each day, with associated costs to the NHS and the national economy,” said the co-chair of the guideline working party, Andrew Hartle, who is a consultant anaesthetist at St Mary’s Hospital in London and president of the Association of Anaesthetists of Great Britain and Ireland.

The guidelines, developed jointly by the association and the British Hypertension Society, give national recommendations for the measurement, diagnosis, and management of raised…

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