The dilemma of immediate preoperative XXXX : to treat and operate, or to postpone surgery?

@entity1 @entity11559 @entity64 @entity101 @entity943 @entity260 @entity177 @entity951 @entity4346 @entity594 @entity8526 @entity583 @entity472 @entity551 @entity65
STUDY OBJECTIVE: To evaluate the efficacy and complications of immediate preoperative @entity551 (BP) in @entity1 with well-controlled @entity101 but with diastolic blood pressure (DBP) between 110 and 130 mmHg on arrival at the operating room (OR). DESIGN: Prospective, randomized, large-sample study. SETTING: University-affiliated, 550-bed community hospital. @entity1 : 989 @entity1 with well-controlled @entity101 , who were scheduled for surgery, and who had no previous @entity583 , unstable or severe @entity951 , @entity177 , pregnancy induced @entity101 , @entity4346 , previous coronary revascularization, @entity472 , @entity943 , @entity8526 , or @entity64 . INTERVENTIONS: @entity1 with DBP between 110 and 130 mmHg were randomly allocated to two groups: 400 @entity1 in the control group and 589 @entity1 serving as the study group. The control group had their surgery postponed and they remained in hospital for BP control, and the study @entity1 received 10 mg of @entity594 intranasally delivered. The @entity1 were observed for @entity65 during the intraoperative period and over the first three postoperative days. MEASUREMENTS AND MAIN RESULTS: The two groups were similar in age, gender, type of surgery, duration of anesthesia, and intraoperative fluid administration. There were no statistically significant @entity260 . The hospitalization time was considerable shorter in the study group than in the control group. CONCLUSIONS: Immediate preoperative reduction of @entity11559 with intranasal @entity594 is safe in @entity1 with well-controlled arterial @entity101 but they presented with severe to very severe @entity101 for @entity1 in the OR. We were able to avoid unnecessary surgery postponement and attendant costs.
