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During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected.
On the day of the procedure, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
During the anesthesia outpatient consultation, patients proposed for minor abdominal surgery, known hypertensive patients are selected. If the blood pressure figures are balanced in the previous 12 months, they are included in the study and the anesthesiologist informs them of the study protocol and obtains their consent.
On the day of the procedure, the patient is admitted to the operating room. We begin warming the patient and carry out standard monitoring, then, we check the blood pressure figures. If the numbers are high: SBP ≥ 180 and/or PAD≥110: we start by a filling as well as a dose of 1 mg Midazolam IV and the blood pressure figures are re-evaluated. If 3 measurements blood pressure figures remain above the threshold values: Surgery is postponed and the patient will be included to group (A) for canceled. If the blood pressure figures are correct, the surgery is accepted and the patient will be included in the group (NA) for not canceled.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| canceled | Hypertensive patients proposed for minor abdominal surgery and canceled for high blood pressure numbers. | ||
| not canceled | Hypertensive patients proposed for minor abdominal surgery not canceled: whose blood pressure figures are correct. |
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| Measure | Description | Time Frame |
|---|---|---|
| Incidence of surgery canceled due to high blood pressure figures in the operating room. | In the operating room, if the blood pressure figures are high(according to BHS recommendations from 2016) the surgery is canceled | In the operating room |
| Measure | Description | Time Frame |
|---|---|---|
| Score d'anxiété: Amsterdam Preoperative Anxiety and Information Scale (APAIS) | The APAIS scale is presented in the form of a questionnaire composed of six questions, the first three of which assess the patient's anxiety relating to anesthesia, the following two assess the patient's anxiety relating to surgery, and finally a last question assesses the patient's desire for information. The minimum score is 6 and the maximum is 20. If the score is greater than 11, this means that the patient's level of anxiety is high |
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Inclusion Criteria:
Exclusion Criteria:
Non-inclusion criteria:
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Patients included for this study: proposed for minor abdominal surgery, known hypertensive, prepared for the surgical procedure. Patient recruitment will be carried out over a period of 7 months by the anesthesia team with cooperation from the general surgery team.
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| Name | Affiliation | Role |
|---|---|---|
| BENALI MECHAAL, Professor | maamouri nabeul | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| HIBET ALLAH ktata | Nabeul | 8000 | Tunisia |
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| before entering the operating room |
| The quality of reception in the operating room | Patient satisfaction: Bad/average/good | before entering the operating room |
| History of cancellation for hypertension in the operating room | presence or absence of a history of cancellation for high blood pressure figures | Pre-operative, at the anesthesia consultation |
| specify the anti-hypertension molecule | the antihypertensive molecule taken by the patient as background treatment | Pre-operative, at the anesthesia consultation |
| Control and monitoring of hypertension Control and monitoring of hypertension Control and monitoring of hypertension | The patient is followed-up in town: by a general practitioner or a cardiologist | During the pre-anesthesia consultation |
| Entrance to the operating room: on foot, chair or trolley | Arrival at the operating room: on foot, chair or trolley | before entering the operating room |
| Day of the week | Day of the week: from Monday to Saturday | before entering the operating room |
| Waiting time before entering the operating room (in minutes) | waiting time before entering the operating room: in minutes | before entering the operating room |