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Hypertension is very common condition among adult and elderly patients. Ii is one of the important risk factor of atherosclerosis of vessels. Anesthetist’s more commonly tackle the management of treated and untreated hypertensive patients. The considerable concern of anaesthtist not only strong association with coronary artery disease but potential target organ damage. This study was conducted to assess cardiovascular response in different stages of general anesthesia in abdominal surgeries. Material and methods: Sixty adult patients undergoing different elective abdominal operations under general anesthesia were included. Patients were divided into A and B group. A group consists of normotensive patients while B group consists of controlled hypertensive patients. Their blood pressure were controlled on single antihypertensive drug. B group further divided into B1 and B2. B1 group patients were on beta blockers (BB) while B2 group patients were on angiotensin converting enzyme inhibitors(ACEI). Results: There was decrease in SAP, DP and HR in all groups after induction while there was increase in SAP, DP and HR in all groups after laryngoscopy and intubation. There was minimal rise in SAP, DP and HR in all groups during surgery. The rise of HR was comparatively less in BB group than ACEI group during laryngoscopy and intubation while rise in SAP was comparatively more in ACEI than BB group during surgery. Conclusion: On the basis of the present observation it can be concluded that pressure response and cardiac response (cardiovascular response) to laryngoscopy and intubation appears to be unaffected with these antihypertensive drugs.

international journal of contemporary medical research

Cardiovascular Response during Induction, Laryngoscopy, Intubation and Surgery in Normotensive and Controlled Hypertensive Patients Undergoing Abdominal Surgeries under General Anaesthesia