How is hypertension addressed during the dermatologic preoperative evaluation and management?

Updated: Mar 16, 2020
  • Author: Robert A Schwartz, MD, MPH; Chief Editor: Dirk M Elston, MD  more...
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Answer

Answer

A history of hypertension should alert the physician to check the patient's blood pressure. Patients with elevated pressures may bleed profusely. This is especially true when working on larger areas of the body or in highly vascular regions, such as the scalp.

Hypertension is an important cause of perioperative bleeding and hematoma formation. It can become a significant cause of poor outcome after flap or graft surgery. Preoperative anxiolytics or sedation and adequate postoperative pain control are important in alleviating unwanted stress and anxiety, which can consequently elevate blood pressure in this population.


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