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Should We Postpone Surgery in Patients with Uncontrolled Preoperative Hypertension?

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You’re Wrong, I’m Right

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Abstract

A 67-year-old male patient with a history of hypertension (HTN) presents for total hip arthroplasty. In the holding area, his blood pressure (BP) is 220/120 on repeated measurements. You recommend that the surgery be postponed to achieve better control of the BP. The cardiologist called to consult suggests just giving some labetalol to decrease the BP, then proceeding.

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Author information

Authors and Affiliations

  1. Northern Valley Anesthesiology, 1500 William Floyd Parkway, Suite 302, Shirley, New York, 11967, USA

    Kristina Natan

  2. Department of Anesthesiology, New York University School of Medicine, 301 East 17th St Rm C2-222, New York, New York, 10003, USA

    Arthur Atchabahian

Authors
  1. Kristina Natan
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  2. Arthur Atchabahian
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Corresponding author

Correspondence to Kristina Natan .

Editor information

Editors and Affiliations

  1. Clinical Professor of Anesthesiology, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, New York, New York, USA

    Corey S. Scher

  2. Assistant Professor, Department of Anesthesia and Critical Care, The University of Chicago, Chicago, Illinois, USA

    Anna Clebone

  3. Clinical Professor of Anesthesiology (Emeritus), Former Assistant Director of Anesthesiology, Bellevue Hospital Center Retired from Department of Anesthesiology, Bellevue Hospital Center, New York University School of Medicine, New York, New York, USA

    Sanford M. Miller

  4. Clinical Associate Professor of Anesthesiology and Surgery, Bellevue Hospital Center, Department of Anesthesiology, Perioperative Care and Pain Medicine, New York University School of Medicine, Surgical Intensive Care Unit, New York, New York, USA

    J. David Roccaforte

  5. Department of Anesthesiology, Perioperative Care and Pain Medicine, Vice Chair Faculty Promotion Associate Director Anesthesia Service Bellevue Hospital Center, New York, New York, USA

    Levon M. Capan

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Natan, K., Atchabahian, A. (2017). Should We Postpone Surgery in Patients with Uncontrolled Preoperative Hypertension?. In: Scher, C., Clebone, A., Miller, S., Roccaforte, J., Capan, L. (eds) You’re Wrong, I’m Right. Springer, Cham. https://doi.org/10.1007/978-3-319-43169-7_80

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  • DOI: https://doi.org/10.1007/978-3-319-43169-7_80

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-43167-3

  • Online ISBN: 978-3-319-43169-7

  • eBook Packages: MedicineMedicine (R0)

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