Table 2.
Perioperative management |
Discontinue ACEi |
500 µg octreotide bolus iv preoperatively + iv octreotide pump 2000 µg/24 h |
Stop octreotide after detubation if patient is haemodynamically stable |
Hypotension |
NaCl 0.9% |
500–1000 µg octreotide bolus + octreotide pump 50–200 µg/h |
Inotropes with caution. Only norepinephrine or dopamine |
ACEi angiotensin converting enzyme inhibitor, iv intravenously