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December 22, 2021European Respiratory ReviewOpen Access

Perioperative approach to precapillary pulmonary hypertension in non-cardiac non-obstetric surgery

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Key result

Perioperative management of pulmonary hypertension requires a multidisciplinary approach focused on preserving right ventricular function during non-cardiac, non-obstetric surgery.

Why the study?

There is a paucity of information and comprehensive evidence-based guidelines to guide perioperative evaluation and management of patients with pulmonary hypertension undergoing surgery.

Population

Patients with pulmonary hypertension undergoing non-cardiac, non-obstetric surgery

Design

Literature review

Authors

DBDebabrata BandyopadhyayUniversity of South FloridaCLChristopher LaiInsermJPJuan N. PulidoSwedish Medical Center

Discussion

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Implication

Guides clinicians to prioritize multidisciplinary RV preservation in PH surgery; extends Level 1 evidence into standardized perioperative practice.

Structured PICO

P
Population
Patients with precapillary pulmonary hypertension undergoing non-cardiac, non-obstetric surgery
I
Intervention
Perioperative evaluation and management algorithms focusing on disease-adapted anaesthetic management and preservation of right ventricular function

This review provides suggested management algorithms for the complex perioperative care of patients with precapillary pulmonary hypertension undergoing non-cardiac, non-obstetric surgery.

Limitations

  • A comprehensive evidence-based guideline is lacking to navigate perioperative management of pulmonary hypertension.

Cite This Study

Bandyopadhyay et al. (2021) conducted a review in Pulmonary hypertension. Perioperative management was evaluated. Perioperative management of pulmonary hypertension requires a multidisciplinary approach focused on preserving right ventricular function during non-cardiac, non-obstetric surgery.

synapsesocial.com/papers/6a746b140081fe7b05dbd2b8https://doi.org/10.1183/16000617.0166-2021
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