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.
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.
Study Type
OBSERVATIONAL
Enrollment
120
HIBET ALLAH ktata
Nabeul, Tunisia
Incidence of surgery canceled due to high blood pressure figures in the operating room.
In the operating room, if the blood pressure figures are high(according to BHS recommendations from 2016) the surgery is canceled
Time frame: In the operating room
Score d'anxiété: Amsterdam Preoperative Anxiety and Information Scale (APAIS)
The APAIS scale is presented in the form of a questionnaire composed of six questions, the first three of which assess the patient's anxiety relating to anesthesia, the following two assess the patient's anxiety relating to surgery, and finally a last question assesses the patient's desire for information. The minimum score is 6 and the maximum is 20. If the score is greater than 11, this means that the patient's level of anxiety is high
Time frame: before entering the operating room
The quality of reception in the operating room
Patient satisfaction: Bad/average/good
Time frame: before entering the operating room
History of cancellation for hypertension in the operating room
presence or absence of a history of cancellation for high blood pressure figures
Time frame: Pre-operative, at the anesthesia consultation
specify the anti-hypertension molecule
the antihypertensive molecule taken by the patient as background treatment
Time frame: Pre-operative, at the anesthesia consultation
Control and monitoring of hypertension Control and monitoring of hypertension Control and monitoring of hypertension
The patient is followed-up in town: by a general practitioner or a cardiologist
Time frame: During the pre-anesthesia consultation
Entrance to the operating room: on foot, chair or trolley
Arrival at the operating room: on foot, chair or trolley
Time frame: before entering the operating room
Day of the week
Day of the week: from Monday to Saturday
Time frame: before entering the operating room
Waiting time before entering the operating room (in minutes)
waiting time before entering the operating room: in minutes
Time frame: before entering the operating room
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.