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Old 10-06-2003, 08:03 PM   #1
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Post HBP Problem Before Surgery w/ Local Anesthetic

I'm the one who was just put on hydroclorot and I've also been taking monopril for about 5 years now. Still my BP has been borderline even with my readings at home. Last Thursday when I went to my primary for my BP check he told me it was 153 and that the epinephrine in with the local could make my BP go higher. I apparently also have white coat hypertension because when I went twice to the emergency room last year for probs unrelated to the BP, my BP was 170 and 190. However, I was treated for the problems I went there for and was sent home right afterwards. The surgery I want to have is a minor cosmetic procedure. When I called the cosmetic surgeon's office to ask what I should do about the BP, to make a long story short I was given the message that my BP needs to be controlled first. I'm now very confused. My primary care doc is giving me the meds so far, but how can he treat me for the BP reading I have during surgery if he doesn't even know what the reading is??????? Seems the cosmetic surgery doc should add whatever extra I need for the BP/anxiety. AT this point I just feel like I'm left hanging and sort of pushed aside. When I called the cosmetic doc's office I mentioned that I would be open to electrocautery, monitoring, and extra meds, but all I got was the message I stated already -- get the BP down. Any reactions or information? I plan to call a trauma doc for a consult bec. surely they have heavily bleeding patients with sky high BP and I don't think they're stitching them up under general anesthesia, which BTW I am not open to for this procedure. Also maybe an anesthesiologist could help me but did the cosmetic surgeon tell me anything specific to maybe ease my mind? NO. Thanks for any answers.

 
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Old 10-07-2003, 05:51 AM   #2
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I can run by BP sky hight AND develop a vicious tachycardia from a novocaine (or any of it's sister....caines) shot at the dentist.
Almost died during an ear surgery (with a heartrate between 200-300 bpm) but I think the nurse screwed up and gave me all epinehrine.

Anyhoo,
If you explaine your catecholamine sensitivity to an anaesthesiologist he can adjust your meds. If it's just a surgeon and a needle, maybe risky.
Can he use a general for the procedure?

(An aside: I find that every time I tell a doctor more than he needs to know, I wind up regretting it.)

 
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