Initial approach to hypertension in the hemodynamics unit: review article

Abstract

Correct identification and early management of hypertensive disorders should be a part of the therapeutic repertoire of every professional working in hemodynamics units. Based on recent publications, this study aims to propose a practical approach to the identification and early management of these disorders in this type of service.

Ocorrência de eventos adversos em unidade de hemodinâmica

“…At the end of the procedure, the patient is referred to the post-anesthetic recovery room, where he/she remains under hemodynamic monitoring and on bed rest with the catheterized limb immobilized. [2][3][4] These are high-complexity procedures, due to the handling of complex anatomical structures of the heart, with risks of complications and clinical conditions of greater risk, requiring medical and nursing staff qualified, efficient and responsive to act effectively and quickly, in the safe care of patients. 5 Patient safety promotion consists of reducing the risk of unnecessary damage associated with health care to a minimum acceptable level, which refers to what is viable using current knowledge, available resources and the context in which the assistance is performed.…”

“…6 There is, in addition to the intense technological advance in interventional cardiology, the emergence of the concern for improving, both structurally as organizationally, the laboratories of cardiovascular intervention to guarantee the effectiveness of work processes. 3,9 At health services of reference in cardiovascular high complexity, actions for promoting patient safety and improving quality are regulated by Decree 210/2004, of the Brazilian Ministry of Health, 10 and by RDC 36/2013, of the National Health Surveillance Agency (ANVISA), 11 which recommends the interaction with the HDU Technical Surveillance Commission for notification of adverse events related to materials and equipment used in the service. It allows, therefore, health services to adopt measures with quality standards appropriate to their reality, in accordance with the laws in force.…”