MANEJO DA HIPERTENSÃO PRÉ-ANESTÉSICA E INTRAOPERATÓRIA EM PACIENTES SUBMETIDOS A CIRURGIA BARIÁTRICA
Resumo
Introdução: A obesidade é um distúrbio metabólico que acomete grande parte da população e vem crescendo exponencialmente nos últimos anos. Associado a esse distúrbio metabólico, tem-se a hipertensão arterial, prevalente também durante o procedimento cirúrgico, sendo uma complicação ou gerando complicações, precisando ser manejada de forma adequada pelo anestesista. Metodologia: Foram analisados 11 prontuários de pacientes submetidos a cirurgia bariátrica no ano de 2018, em um hospital particular de Cascavel/PR. Resultados: Nos prontuários analisados, foi encontrada uma média de idade de 36,63 anos, com prevalência do sexo masculino (n=6). A média de IMC foi de 44,25 kg/m2 e dos 11 pacientes, 5 eram previamente hipertensos (45,45%). Quanto a pressão arterial, a média intraoperatória foi de PAS de 145,9mmHg e uma média de PAD de 89mmHg, sendo que apenas 1 paciente necessitou de droga anti-hipertensiva específica. Não foram registradas complicações. Conclusão: O manejo e escolha adequada das drogas anestésicas por parte do anestesista, permite um procedimento sem intercorrências pressóricas.
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