Hypertension Following Orthopaedic Surgery in Children

Five patients developed hypertension after undergoing orthopaedic surgery. Three of four patients in whom serum renin was assayed had significant elevation, suggesting a possible renal-mediated etiology. Two patients required the addition of an angiotensin-converting enzyme (ACE) inhibitor to contro...

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Veröffentlicht in:	Journal of pediatric orthopaedics 1993-11, Vol.13 (6), p.773-776
Hauptverfasser:	Helal, Amira, Guidera, Kenneth J, Campos, Alfonso, Niroomand-Rad, lran, Ogden, John A
Format:	Artikel
Sprache:	eng
Schlagworte:	Adolescent Antihypertensive Agents - therapeutic use Arterial hypertension. Arterial hypotension Biological and medical sciences Blood and lymphatic vessels Bone Lengthening Cardiology. Vascular system Child Child, Preschool Clinical manifestations. Epidemiology. Investigative techniques. Etiology Contracture - surgery External Fixators Female Humans Hypertension - blood Hypertension - drug therapy Hypertension - etiology Kidney Function Tests Male Medical sciences Orthopedic surgery Orthopedics Postoperative Complications - etiology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
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Beschreibung
Zusammenfassung:	Five patients developed hypertension after undergoing orthopaedic surgery. Three of four patients in whom serum renin was assayed had significant elevation, suggesting a possible renal-mediated etiology. Two patients required the addition of an angiotensin-converting enzyme (ACE) inhibitor to control hypertension while continuing the prolonged orthopaedic procedures. The need for careful blood-pressure monitoring of children undergoing orthopaedic surgery is emphasized in this article.
ISSN:	0271-6798 1539-2570
DOI:	10.1097/01241398-199311000-00017