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Ann Card Anaesth. 2018 Apr-Jun;21(2):116-122. doi: 10.4103/aca.ACA_123_17.

Pulmonary hypertension and cardiac anesthesia: Anesthesiologist's perspective.

Author information

1
Department of Anesthesiology, Seth GSMC and KEM Hospital, Mumbai, Maharashtra, India.

Abstract

Perioperative management of pulmonary hypertension remains one of the most challenging scenarios during cardiac surgery. It is associated with high morbidity and mortality due to right ventricular failure, arrhythmias, myocardial ischemia, and intractable hypoxia. Therefore, this review article is intended toward the anesthetic considerations in the perioperative period, with particular emphasis on the selection of technique and choice of anesthesia with maintenance, anesthetic drugs, and the recent intraoperative recommendations for prevention and treatment of pulmonary hypertensive crisis.

KEYWORDS:

Anesthesia; pulmonary hypertension; pulmonary hypertension crisis

PMID:
29652270
PMCID:
PMC5914209
DOI:
10.4103/aca.ACA_123_17
[Indexed for MEDLINE]
Free PMC Article

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