Critical Care of Patients After Pulmonary Thromboendarterectomy

被引：10

作者：

Kratzert, Wolf B. ^{[1
]}

Boyd, Eva K. ^{[1
]}

Saggar, Rajan ^{[2
]}

Channick, Richard ^{[2
]}

机构：

[1] Univ Calif Los Angeles, David Geffen Sch Med, Dept Anesthesiol & Perioperat Med, 757 Westwood Plz,Suite 3325, Los Angeles, CA 90095 USA

[2] Univ Calif Los Angeles, David Geffen Sch Med, Dept Internal Med, Los Angeles, CA 90095 USA

来源：

JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA | 2019年 / 33卷 / 11期

关键词：

pulmonary endarterectomy; pulmonary thromboendarterectomy; chronic thromboembolic pulmonary hypertension; pulmonary hypertension; critical care; critically ill; EXTRACORPOREAL LIFE-SUPPORT; RIGHT-VENTRICULAR FUNCTION; INHALED NITRIC-OXIDE; HYPOTHERMIC CIRCULATORY ARREST; PLANE SYSTOLIC EXCURSION; PATENT FORAMEN OVALE; LONG-TERM OUTCOMES; LUNG INJURY; HEMODYNAMIC IMPROVEMENT; CARDIAC-SURGERY;

D O I：

10.1053/j.jvca.2019.03.005

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pulmonary thromboendarterectomy (PTE) remains the only curative surgery for patients with chronic thromboembolic pulmonary hypertension (CTEPH). Postoperative intensive care unit care challenges providers with unique disease physiology, operative sequelae, and the potential for detrimental complications. Central concerns in patients with CTEPH immediately after PTE relate to neurologic, pulmonary, hemodynamic, and hematologic aspects. Institutional experience in critical care for the CTEPH population, a multidisciplinary team approach, patient risk assessment, and integration of current concepts in critical care determine outcomes after PTE surgery. In this review, the authors will focus on specific aspects unique to this population, with integration of current available evidence and future directions. The goal of this review is to provide the cardiac anesthesiologist and intensivist with a comprehensive understanding of postoperative physiology, potential complications, and contemporary intensive care unit management immediately after pulmonary endarterectomy. (C) 2019 Elsevier Inc. All rights reserved.

引用

页码：3110 / 3126

页数：17