Arterial Hypertension in Surgery: Analysis of Anesthetic Practices in an Algerian University Hospital Center

Introduction: Arterial hypertension is a common comorbidity in patients during the perioperative period. Its management poses a challenge in anesthesia practice. This study aims to evaluate the anesthetic management modalities of hypertensive patients at Bab El Oued University Hospital, compared to international recommendations. Methods: A descriptive monocentric study conducted at Bab El Oued University Hospital over a one-month period. Data collected included patient characteristics, hypertension history, preoperative assessment, and perioperative management. Results: Among the 32 included patients, 53.1% experienced morbidity/mortality related to hypertension. Etiological research and cardiac evaluation were not systematic (65.6% and 78.1%, respectively). Preoperative blood pressure targets followed recommendations in 53.1% of cases. Management of perioperative hypertensive peaks was in line with recommendations, but premedication was more frequently used than recommended. Discussion: This study highlights discrepancies from international recommendations in the anesthetic management of hypertensive patients at Bab El Oued University Hospital. Improvements in etiological and cardiac assessment, as well as better monitoring of blood pressure targets, are needed. More judicious use of premedication would also be beneficial. Conclusion: The management of hypertensive patients at Bab El Oued University Hospital has shortcomings. Continuous education of practitioners on best practices could contribute to improving the quality of care.