• Elevated blood pressure is a major cause of perioperative bleeding and postoperative hematoma. Seventyfive patients scheduled for dermatologic surgical procedures were prospectively asked if they were aware of any personal history of hypertension. If patient response alone is relied on as a preoperative screen for hypertension, over half of the individuals affected with this disease will be missed. Epinephrine-containing local anesthetics were found not to increase blood pressure in doses commonly employed by dermatologists; in fact, they lowered blood pressure in hypertensive individuals.
(Arch Dermatol 1986;122:1406-1407)
Dzubow LM. Blood Pressure as a Parameter in Dermatologic Surgery. Arch Dermatol. 1986;122(12):1406-1407. doi:10.1001/archderm.1986.01660240070018