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Perioperative management of pulmonary hypertension during lung transplantation (a lesson for other anaesthesia settings). [revisión]

Por: Real Navacerrada, María Isabel [Anestesiología y Reanimación] | Rabanal, J.M [Anestesiología y Reanimación].
Colaborador(es): Servicio de Anestesiología y Reanimación.
Tipo de material: materialTypeLabelArtículoEditor: Revista española de anestesiología y reanimación, 2014Descripción: 61(8):434-45.Recursos en línea: Solicitar documento Resumen: Patients with pulmonary hypertension are some of the most challenging for an anaesthesiologist to manage. Pulmonary hypertension in patients undergoing surgical procedures is associated with high morbidity and mortality due to right ventricular failure, arrhythmias and ischaemia leading to haemodynamic instability. Lung transplantation is the only therapeutic option for end-stage lung disease. Patients undergoing lung transplantation present a variety of challenges for anaesthesia team, but pulmonary hypertension remains the most important. The purpose of this article is to review the anaesthetic management of pulmonary hypertension during lung transplantation, with particular emphasis on the choice of anaesthesia, pulmonary vasodilator therapy, inotropic and vasopressor therapy, and the most recent intraoperative monitoring recommendations to optimize
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Formato Vancouver:
Rabanal JM, Real MI, Williams M. Perioperative management of pulmonary hypertension during lung transplantation (a lesson for other anaesthesia settings). Rev Esp Anestesiol Reanim. 2014 Oct;61(8):434-45.

PMID: 25156939

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Patients with pulmonary hypertension are some of the most challenging for an anaesthesiologist to manage. Pulmonary hypertension in patients undergoing surgical procedures is associated with high morbidity and mortality due to right ventricular failure, arrhythmias and ischaemia leading to haemodynamic instability. Lung transplantation is the only therapeutic option for end-stage lung disease. Patients undergoing lung transplantation present a variety of challenges for anaesthesia team, but pulmonary hypertension remains the most important. The purpose of this article is to review the anaesthetic management of pulmonary hypertension during lung transplantation, with particular emphasis on the choice of anaesthesia, pulmonary vasodilator therapy, inotropic and vasopressor therapy, and the most recent intraoperative monitoring recommendations to optimize

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