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Cureus. 2018 Jan 15;10(1):e2072. doi: 10.7759/cureus.2072.

Focused Review of Perioperative Care of Patients with Pulmonary Hypertension and Proposal of a Perioperative Pathway.

Author information

1
Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
2
Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine.
3
Division of Pulmonary and Critical Care Medicine, The Johns Hopkins University School of Medicine.
4
Oregon Anesthesiology Group Pc, Legacy Health.

Abstract

Morbidity and mortality risk increase considerably for patients with pulmonary hypertension (PH) undergoing non-cardiac surgery. Unfortunately, there are no comprehensive, evidence-based guidelines for perioperative evaluation and management of these patients. We present a brief review of the literature on perioperative outcomes for patients with PH and describe the implementation of a collaborative perioperative management program for these high-risk patients at a tertiary academic center.

KEYWORDS:

high risk surgery; perioperative management; pulmonary arterial hypertension; pulmonary hypertension; surgical home

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