The goal during anaesthesia is to adjust the depth of anaesthesia to minimize wide range of fluctuations in systemic blood pressure. In this regard the Technique that involves volatile anaesthetics permitting rapid adjustment of the depth of anaesthesia in response to changing blood pressure. Indeed the management of intraoperative blood pressure liability of anaesthetic technique is much more important than preoperative control of blood pressure.
Regional anaesthesia is an acceptable option for hypertensive patients, recognising that a need for high sensory levels of anaesthesia and associated sympathetic blockade could unmask unsuspected hypovolemia,. It is often associated with hypovolemia and ischemic heart disease, which means that decreases in systemic blood pressure are more likely to result in myocardial ischemia. INTRAOPERATIVE HYPERTENSION: The most likely intraoperative…
