Anesthetic management of patients with pulmonary hypertension

Brenda MacKnight, Elizabeth A. Martinez, Brett A. Simon

Research output: Contribution to journalReview articlepeer-review

Abstract

Advances in the treatment of patients with chronic pulmonary hypertension have greatly improved their functional status and longevity, and increasing numbers of these complex patients are presenting for elective noncardiac surgery. In this communication we will briefly review the classification and pathophysiology of pulmonary hypertension, summarize outpatient pharmacotherapy approaches, and discuss the perioperative preparation and management of these complex patients. With an understanding of the underlying pathophysiology of the disease and pharmacology of these new therapies, combined with careful perioperative planning and care, these patients can safely undergo elective surgical procedures.

Original languageEnglish (US)
Pages (from-to)91-96
Number of pages6
JournalSeminars in Cardiothoracic and Vascular Anesthesia
Volume12
Issue number2
DOIs
StatePublished - Jun 2008

Keywords

  • Anesthetic management
  • Pharmacotherapy
  • Pulmonary hypertension
  • Right ventricular function

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Anesthesiology and Pain Medicine

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