Perioperative use of angiotensin-converting-enzyme inhibitors and angiotensin receptor antagonists.
J Clin Anesth
; 40: 91-98, 2017 Aug.
Article
em En
| MEDLINE
| ID: mdl-28625460
ABSTRACT
STUDY OBJECTIVE:
Clinical repercussions of perioperative treatment with ACEIs/ARBs.DESIGN:
Systematic review according to PRISMA statement.SETTING:
Perioperative period. PATIENTS 29 studies 11 cases/cases series, 12 observational studies and 6 randomized studies. MEASUREMENTS Arterial blood pressure differences, refractory hypotension, other comorbidities. MAINRESULTS:
The studies show different results regarding the topics measured. They are divided in the results regarding blood pressure, long term morbidities and effects in neuraxial anesthesia.CONCLUSIONS:
Withholding AECI/ARBs on the morning prior to surgery could be recommended as a potentially effective measure, with a low level of evidence, in order to reduce the appearance of hypotension in the perioperative period of non-cardiac surgery.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Inibidores da Enzima Conversora de Angiotensina
/
Assistência Perioperatória
/
Antagonistas de Receptores de Angiotensina
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Hipotensão
/
Complicações Intraoperatórias
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article