#365: Perioperative Medicine with Anesthesiologist Dr. Angela Selzer
The Curbsiders Internal Medicine Podcast
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The ASRA Guidelines on Blood Pressure and ACE Inhibitors and ARBs
The ACE inhibitor does reduce intraoperative hypotension, but it ends up resulting in more postoperative hypertension. The ASRA guidelines are a little unnecessarily conservative that we do end up holding or having to tell patients to hold their DOAX for longer than is probably necessary based on the half-lives of those medications. It's hard to defend a complication from an epidural hematoma when you didn't follow your own society guidelines.
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