Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension
Joint Authors
Czeslick, Elke
Malcharek, Michael
Sablotzki, Armin
Gille, Jochen
Gerlach, Stefan
Seyfarth, Hans-Jürgen
Source
Anesthesiology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-16, 16 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-10-12
Country of Publication
Egypt
No. of Pages
16
Main Subjects
Abstract EN
Pulmonary hypertension is a major reason for elevated perioperative morbidity and mortality, even in noncardiac surgical procedures.
Patients should be thoroughly prepared for the intervention and allowed plenty of time for consideration.
All specialty units involved in treatment should play a role in these preparations.
After selecting each of the suitable individual anesthetic and surgical procedures, intraoperative management should focus on avoiding all circumstances that could contribute to exacerbating pulmonary hypertension (hypoxemia, hypercapnia, acidosis, hypothermia, hypervolemia, and insufficient anesthesia and analgesia).
Due to possible induction of hypotonic blood circulation, intravenous vasodilators (milrinone, dobutamine, prostacyclin, Na-nitroprusside, and nitroglycerine) should be administered with the greatest care.
A method of treating elevations in pulmonary pressure with selective pulmonary vasodilation by inhalation should be available intraoperatively (iloprost, nitrogen monoxide, prostacyclin, and milrinone) in addition to invasive hemodynamic monitoring.
During the postoperative phase, patients must be monitored continuously and receive sufficient analgesic therapy over an adequate period of time.
All in all, perioperative management of patients with pulmonary hypertension presents an interdisciplinary challenge that requires the adequate involvement of anesthetists, surgeons, pulmonologists, and cardiologists alike.
American Psychological Association (APA)
Gille, Jochen& Seyfarth, Hans-Jürgen& Gerlach, Stefan& Malcharek, Michael& Czeslick, Elke& Sablotzki, Armin. 2012. Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension. Anesthesiology Research and Practice،Vol. 2012, no. 2012, pp.1-16.
https://search.emarefa.net/detail/BIM-465474
Modern Language Association (MLA)
Gille, Jochen…[et al.]. Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension. Anesthesiology Research and Practice No. 2012 (2012), pp.1-16.
https://search.emarefa.net/detail/BIM-465474
American Medical Association (AMA)
Gille, Jochen& Seyfarth, Hans-Jürgen& Gerlach, Stefan& Malcharek, Michael& Czeslick, Elke& Sablotzki, Armin. Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension. Anesthesiology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-16.
https://search.emarefa.net/detail/BIM-465474
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-465474