Intraoperative Goal-Directed Anesthetic Management of the Patient with Severe Pulmonary Hypertension

被引：3

作者：

Liu, Jinhong ^{[1
]}

Nahrwold, Daniel A. ^{[1
]}

Serdiuk, Andrew A. ^{[1
]}

Koontz, Dave B. ^{[1
]}

Fontaine, Jacques-Pierre ^{[2
]}

机构：

[1] H Lee Moffitt Canc Ctr & Res Inst, Dept Anesthesia, Tampa, FL 33612 USA

[2] H Lee Moffitt Canc Ctr & Res Inst, Dept Thorac Oncol, Tampa, FL USA

来源：

AMERICAN JOURNAL OF CASE REPORTS | 2019年 / 20卷

关键词：

Hypertension; Pulmonary; One-Lung Ventilation; Stroke Volume; Thoracic Surgical Procedures; ARTERY CATHETERS; OUTCOMES; TRENDS;

D O I：

10.12659/AJCR.916330

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Objective: Rare co-existance of disease or pathology Background: It is very challenging for anesthesiologists to manage patients with pulmonary hypertension undergoing general anesthesia for elective or emergent surgeries. Case Report: We present a patient with severe pulmonary hypertension going through a major robotic thoracic surgery. Conclusions: A goal-directed anesthesia management algorithm based on serial stroke volume (SV) values obtained from FloTrac (Edwards Lifesciences, LLC.) minimally invasive arterial pressure sensor was utilized in an attempt to reduce the anesthetic and surgical risk associated with severe pulmonary hypertension.

引用

页码：998 / 1001

页数：4

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