Journal of clinical anesthesia · 2017
Perioperative use of angiotensin-converting-enzyme inhibitors and angiotensin receptor antagonists.
СтатьяСистематический обзорНазвание и аннотация: Перевод в очереди
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Vaquero Roncero Luis Mario, Sánchez Poveda David, Valdunciel García Joaquín José, Sánchez Barrado María Elisa, Calvo Vecino José María
Аннотация
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.
MAIN RESULTS: 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.
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.
MAIN RESULTS: 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.