January 14, 2013F1000ResearchOpen Access

Case Report: Refractory hypotension during general anesthesia despite preoperative discontinuation of an angiotensin receptor blocker

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Population

51-year-old female taking an angiotensin receptor blocker (ARB) undergoing surgery with general anesthesia

Design

Case_report

Authors

RNRaha NabbiUniversity Medical Center Groningen HWHarvey J. WoehlckMedical College of Wisconsin MRMatthias L. RiessVanderbilt University

Discussion

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Implication

May warrant considering ARB discontinuation >24h preoperatively; hypothesis-generating case report that should not yet change practice.

Structured PICO

Population

51-year-old female taking an angiotensin receptor blocker (ARB) undergoing surgery with general anesthesia

Intervention

Discontinuation of ARB 24 hours preoperatively

Outcome

Development of severe refractory hypotension after induction of general anesthesiasafety

Halting ARBs for more than 24 hours before surgery may be necessary to prevent refractory hypotension during general anesthesia, which may require treatment with vasopressin.

Cite This Study

Nabbi et al. (2013) studied this question.

synapsesocial.com/papers/6a8929a73d6e0fcd7a28c59d https://doi.org/10.12688/f1000research.2-12.v1

View Full Paper

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Case Report: Refractory hypotension during general anesthesia despite preoperative discontinuation of an angiotensin receptor blocker

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Case Report: Refractory hypotension during general anesthesia despite preoperative discontinuation of an angiotensin receptor blocker

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider