{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T20:36:28Z","timestamp":1790973388924,"version":"4.1.0"},"reference-count":66,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Maintaining stable blood pressure during surgery is a key responsibility of anaesthetists. Peri\u2010operative omission and reintroduction of antihypertensive drugs, general anaesthesia, neuraxial and regional techniques can all cause significant fluctuations in blood pressure, particularly in patients with hypertension. Since the first edition of this guideline there has been more literature regarding peri\u2010operative management, but some areas still lack standardisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This was a planned update of the 2016 guidelines from the Association of Anaesthetists and British Hypertension Society:\n                      <jats:italic>The measurement of adult blood pressure and management of hypertension before elective surgery.<\/jats:italic>\n                      An expert working party was convened. We conducted a targeted literature review followed by a modified Delphi process to formulate recommendations.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We make recommendations on the management of blood pressure in the peri\u2010operative period (from time of decision to operate until 30\u2009days after surgery) for adults having planned surgery (excluding cardiothoracic, obstetric and endocrine surgeries). These include when and how to measure blood pressure; blood pressure thresholds for postponement of planned surgery; and the peri\u2010operative management of blood pressure. Key recommendations include: secondary care peri\u2010operative teams should accept patient referrals that document a clinic blood pressure measurement &lt;\u2009160\/100\u2009mmHg, or an ambulatory or home blood pressure measurement &lt;\u2009155\/95\u2009mmHg in the past 12\u2009months; and patients who attend the pre\u2010operative\u2009assessment clinic without documentation of normotension in primary care may proceed to elective surgery if their clinic blood pressure measurement is &lt;\u2009180\/120\u2009mmHg or ambulatory or home blood pressure measurement &lt;\u2009175\/115\u2009mmHg.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Managing hypertension in the peri\u2010operative period requires a nuanced approach, balancing immediate peri\u2010operative risks with long\u2010term cardiovascular health. Clear communication between primary care, hospital departments and patients is essential to minimise conflicting advice and ensure safe surgical outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70082","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T09:00:37Z","timestamp":1768381237000},"page":"402-414","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Measurement and management of adult blood pressure in the peri\u2010operative period: updated guidelines from the Association of Anaesthetists and the British and Irish Hypertension Society"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9688-6031","authenticated-orcid":false,"given":"Terry","family":"McCormack","sequence":"first","affiliation":[{"name":"Institute of Clinical and Applied Health Research, Hull York Medical School University of Hull  Hull UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alex","family":"Wickham","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia Imperial College Healthcare NHS Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sin\u00e9ad T. 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