Anaesthesia-related acute hypertension

I97.3

To obtund the hypertensive response to intubation e.g. pre-eclampsia:

• Alfentanil, IV, 7.5 mcg/kg (with magnesium sulfate, IV 30 mg/kg).

LoEIII

During anaesthesia or post-operatively, establish the cause (e.g. light anaesthesia or inadequate pain relief) and treat as appropriate.

• Labetalol IV, 5–10mg IV over 2 minutes.
  • Repeated at intervals of at least 5 minutes to maximum 200 mg.
  • Duration of action 50 minutes.
  • Vasodilates and slows heart rate.

LoEIII [31]