Re: General Anesthesia with HBP - Update
Thanks for the replies. I wanted to give everyone an update and pass along the information I have learned recently, for others with HPB who might be undergoing surgery in the future.
In a nutshell, my surgery was cancelled. In my pre-op interview, I expressed my concerns over my BP not being controlled lately. 30 min later, got a call from my dr saying the medical director of the surgery center cancelled the surgery and wants a clearance letter from my cardiologist, and my BP under control, before they will do the surgery. (I already had the clearance from cardio, but not in written form, and this was before BP had gone higher). Now, my dr wants to have the surgery done at the hospital instead of the surgery center. In speaking to an anesthesiologist, this is what I have learned. If your BP is not properly under control, it is very dangerous to undergo general anesthesia, because you will be at greater risk of heart attack, stroke and blood loss. Even though the anesthesiologist does monitor your BP during surgery and can medicate you to lower it, you are still at an increased if your blood pressure is not under control before the surgery begins, because it is the instantaeous rise (before the anesthesiologist can see the increase, give the medicines and have them work to lower it) that you might cause you to have a stroke, etc. They did seem most concerned about the diastolic - I was told anything over 110 is enough to cancel surgery.
So, I am now on a new med and have already seen good improvement with lower numbers (125/82 last night), but am going to play it safe and get consistently low numbers for awhile before rescheduling the sugery.