This review provides an anesthesiologist's perspective on the perioperative management of pulmonary hypertension during cardiac surgery to mitigate high morbidity and mortality risks.
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Offers practical guidance for anesthesiologists in high-risk cases; leaves open need for prospective validation of recommendations.
Perioperative management of pulmonary hypertension remains one of the most challenging scenarios during cardiac surgery. It is associated with high morbidity and mortality due to right ventricular failure, arrhythmias, myocardial ischemia, and intractable hypoxia. Therefore, this review article is intended toward the anesthetic considerations in the perioperative period, with particular emphasis on the selection of technique and choice of anesthesia with maintenance, anesthetic drugs, and the recent intraoperative recommendations for prevention and treatment of pulmonary hypertensive crisis.
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Sarkar et al. (2018) conducted a review in Pulmonary hypertension in cardiac surgery. Perioperative anesthetic management was evaluated.
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