Key result
Anesthetic management of patients undergoing heart transplantation requires knowledge of heart failure pathophysiology, altered pharmacodynamics, and treatment of right heart failure.
Anesthetic management of heart transplant patients requires understanding of heart failure pathophysiology, altered pharmacodynamics, and right heart failure treatment.
Requires expertise in heart failure pathophysiology and right ventricular failure for transplant anesthesia; leaves open standardization amid rising recipient complexity.
Although several new surgical therapies hold promise for changing the surgical approach to heart failure, the most effective therapy currently for patients with end- stage congestive heart failure is heart transplantation. The challenges posed to the anesthesiologist caring for these patients are great, and are increasing as a result of a shift toward transplanting medically unstable pa tients. The anesthetic management of patients undergo ing heart transplantation requires a knowledge of the pathophysiology of heart failure, the altered pharmacody namics of anesthetics in the patient with heart failure, treatment of right heart failure, as well as the impact of new surgical therapies on cardiovascular function.
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Marc L. Dickstein (1998) conducted a review in End-stage congestive heart failure. Anesthesia for heart transplantation was evaluated. Anesthetic management of patients undergoing heart transplantation requires knowledge of heart failure pathophysiology, altered pharmacodynamics, and treatment of right heart failure.
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