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British Journal of Anaesthesia, 2001, Vol. 86, No. 6 789-793
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Survey of cancellation rate of hypertensive patients undergoing anaesthesia and elective surgery

P. Dix and S. Howell

Sir Humphry Davy Department of Anaesthesia, Bristol Royal Infirmary, Bristol BS2 8HW, UK*Corresponding author: Department of Anaesthesia, Southmead Hospital, Westbury on Trym, Bristol BS10 5NS, UK

Hypertension is the commonest avoidable medical indication for postponing anaesthesia and surgery. There are no universally accepted guidelines stating the arterial pressure values at which anaesthesia should be postponed. The aim of this study was to determine the extent of variation across the South-West region of the UK in the anaesthetic management of patients presenting with stage 2 or stage 3 hypertension. Each anaesthetist in the region was sent a questionnaire with five imaginary case histories of patients with stage 2 or stage 3 hypertension. They were asked if they would be prepared to provide anaesthesia for each patient. The response rate was 58%. We found great variability between anaesthetists as to which patients would be cancelled. Departmental protocols may aid general practitioners and surgeons in the preparation of patients for surgery, but such protocols may be difficult to agree in the light of such a wide variation in practice.

Br J Anaesth 2001; 86: 789–93


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