Hypertension is a common problem in the world. Hypertensive patients may develop surgical problems like any other nonhypertensive patients. In pre-operative period when the patient is taking certain drugs, it may produce certain complications in anaesthesia as well as in hemostasis after surgery. Generally the beta blockers will prevent the reactive tachycardia during anaesthesia but not reported and I have not come across in patients assessed by me pre-operatively.
Bradycardia, hypotension and bronchospasm are the main hazards in Beta Blocker treated patients undergoing anaesthesia. However giving BB with premedication to patients taking usually this treatment allows better peri-operative haemodynamic stability and avoids rebound effect. While using diltiazem for hypertension control in TURP patients , I have noted excessive bleeding compared to other antihypertensives in the surgical…
