Hypertension as a Reason for Concellation of Elective Minor Abdominal Surgery

University Tunis El Manar

Status: Completed

Conditions: Hypertension Secondary; Surgery

Study type: Observational

Funder types: Other

Identifiers

NCT06628648

UTEM HCS

Details and patient eligibility

About

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.

Full 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.

Enrollment: 120 patients

Sex: All

Ages: 18 to 90 years old

Volunteers: No Healthy Volunteers

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.

Trial design

120 participants in 2 patient groups

canceled

Description:

Hypertensive patients proposed for minor abdominal surgery and canceled for high blood pressure numbers.

not canceled

Description:

Hypertensive patients proposed for minor abdominal surgery not canceled: whose blood pressure figures are correct.