RECENT UPDATES ON PREOPERATIVE HYPERTENSION HOW HIGH IS TOO HIGH TO HANDLE

The objective of administration of safe anaesthesia  is challenged by the patients pathophysiology during perioperative period. Blood pressure (BP) of the patient, a surrogate marker of perfusion, if abnormal, puts the anaesthetist in a real time challenging situation. With the surge in the incidence of hypertension worldwide, advanced age of the surgical patient, increasing number of complex surgeries, the anaesthetist, as a perioperative physician has a significant role in bringing the best outcome. This special article will focus on recent updates on the preoperative management of a surgical patient with hypertension, highlighting the importance of risk stratification, as well as, the proper plan of relevant investigations and the antihypertensive pharmacotherapy management.