Pulmonary hypertension and its management in patients undergoing non-cardiac surgery

被引：93

作者：

Pilkington, S. A. ^{[1
]}

Taboada, D. ^{[2
]}

Martinez, G. ^{[3
]}

机构：

[1] Queen Elizabeth Hosp NHS Fdn Trust, Dept Anaesthesia, Kings Lynn, England

[2] Queen Elizabeth Hosp NHS Fdn Trust, Pulm Vasc Dis Unit, Kings Lynn, England

[3] Papworth Hosp NHS Fdn Trust, Dept Anaesthesia, Cambridge, England

来源：

ANAESTHESIA | 2015年 / 70卷 / 01期

关键词：

INTRAOPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY; RIGHT-VENTRICULAR DYSFUNCTION; ARTERIAL-HYPERTENSION; PREGNANCY OUTCOMES; VASCULAR-RESISTANCE; DOUBLE-BLIND; ANESTHESIA; THERAPY; HEART; PROSTACYCLIN;

D O I：

10.1111/anae.12831

中图分类号：

R614 [麻醉学];

学科分类号：

100217 ;

摘要：

Pulmonary hypertension is a complex disorder of the pulmonary vasculature that leads to increased peri-operative morbidity and mortality. Non-cardiac surgery constitutes a significant risk in patients with pulmonary hypertension. The management of right ventricular failure is inherently challenging and fraught with life-threatening consequences. A thorough understanding of the pathophysiology, the severity of the disease and its treatment modalities is required to deliver optimal peri-operative care. This review provides an evidence-based overview of the definition, classification, pathophysiology, diagnosis and treatment of pulmonary hypertension and focuses on the peri-operative management and treatment of pulmonary hypertensive crises in a non-cardiac setting.

引用

页码：56 / 70

页数：15

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