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General anesthesia for a patient with pulmonary hypertension, bronchial asthma and obesity

Nakamura, S.; Nishiyama, T.; Hanaoka, K.

Masui. Japanese Journal of Anesthesiology 54(10): 1143-1145

2005

ISSN/ISBN: 0021-4892
PMID: 16231770
Document Number: 586234
The management of the patient with pulmonary hypertension is a challenge for the anesthesiologists because the risk of right-sided heart failure is markedly increased. We experienced a case of general anesthesia for a patient with pulmonary hypertension (mean pulmonary arterial pressure 39 mmHg), bronchial asthma and obesity. A 31-year-old woman was scheduled for arytenoid rotation for left recurrent nerve palsy. We applied routine monitors (noninvasive blood-pressure, five-lead electrocardiogram, pulse oximeter), and direct blood pressure monitoring through the radial artery. Anesthesia was induced with midazolam 4 mg, fentanyl 100 mu g and sevoflurane 5%, and maintained with sevoflurane (1-2%) and nitrous oxide in oxygen. Surgery was completed in 100 minutes without any complications. We could successfully perform general anesthesia in a patient complicated by pulmonary hypertension, bronchial asthma and obesity, without invasive right-sided heart catheterization.

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Noda, K.; Ryo, K.; Nakamoto, A. 2003: A case of emergency surgery in a patient with bronchial asthma under continuous spinal anesthesia Masui. Japanese Journal of Anesthesiology 52(10): 1121-1123
Pribylova, N.N. 1978: Excretion of androgens, corticosteroid content of blood and pulmonary hypertension in severe course of bronchial asthma after remission Terapevticheskii Arkhiv 50(11): 95-98
Gimmel'farb, G.N.; Karimova, T.Z. 1988: Treatment of pulmonary hypertension in the immediate period after general anesthesia and surgical correction of patent ductus arteriosus and heart septal defects Vestnik Khirurgii Imeni I. I. Grekova 140(6): 123-126
Koga, T.; Kawazu, T.; Iwashita, K.; Yahata, R. 2004: Pulmonary hyperinflation and respiratory distress following solvent aspiration in a patient with asthma: expectoration of bronchial casts and clinical improvement with high-frequency chest wall oscillation Respiratory Care 49(11): 1335-1338
Park, J.W.; Hong, Y.K.; Kim, C.W.; Kim, D.K.; Choe, K.O.; Hong, C.S. 1997: High-resolution computed tomography in patients with bronchial asthma: correlation with clinical features, pulmonary functions and bronchial hyperresponsiveness Journal of Investigational Allergology and Clinical Immunology 7(3): 186-192
Andreassen, U.K.; Larsen, C.B. 1990: Anesthesia in ear surgery. a resource economical analysis and patient assessment of general anesthesia versus local anesthesia in ear surgery Ugeskrift for Laeger 152(22): 1595-1597
Khukhlina, O.S.; Antoniv, A.A.; Mandryk, O.Y.; Hryniuk, O.Y.е; Kovalenko, S.V.; Drozd, V.Y.; Kotsiubiichuk, Z.I. 2018: Clinical and pathogenetic features of nonalcoholic steatohepatitis for comorbidity with bronchial asthma on the background of obesity Wiadomosci Lekarskie 71(2 Part 1): 376-379
Stepanova, I.I.; Vul'fson, I.N. 1975: State of general hemodynamics in bronchial asthma of children 2-7 years of age Pediatriia 1975(10): 35-38
Zemskov, I.A.; Malitskiĭ, A.T.; Ershov, V.N.; Gladyr', M.A. 1971: Bronchial asthma in pulmonary tuberculosis Problemy Tuberkuleza 49(8): 49-52
Dziedziczko, A.; Tujakowski, J. 1981: Practical value of the study of bronchial reactivity in the diagnosis of bronchial asthma and asthma susceptibility in conscripts Polski Tygodnik Lekarski 36(34): 1301-1304
Daniliak, I.G.; Ostrovskaia, V.I.; Zinger, E.O. 1977: Evaluation of pulmonary hemodynamics in bronchial asthma Klinicheskaia Meditsina 55(12): 101-105
Hreniuc, R.; Finichiu, D.G.; Răutu, F. 1984: Can a pulmonary hydatid cyst cause bronchial asthma? Revista Medico-Chirurgicalaa Societatii de Medici Si Naturalisti Din Iasi 88(3): 494
Zemskov, I.A. 1974: Steroid pulmonary tuberculosis in patients with bronchial asthma Terapevticheskii Arkhiv 46(5): 138-140
Volchkova, E.A.; Zateĭshchikova, A.A.; Shavrin, I.V.; Kiselev, D.G.; Brazhnik, V.A.; Privalov, D.V.; Doshchitsin, V.L.; Zateĭshchikov, D.A. 2012: Association of parameters of heart rate variability with severity of bronchial obstruction and presence of pulmonary hypertension in patients with chronic obstructive pulmonary disease Kardiologiia 52(7): 42-49
Eliraz, A.; Ezri, T.; Guttman, R.; Wishnitzer, R.; Soroker, D. 1990: Inflammatory cells in bronchial lavage fluid after general anesthesia and artificial respiration Harefuah 118(3): 139-141
Bazarnaia, N.S. 1971: Development of dermatomyositis in a patient with bronchial asthma Terapevticheskii Arkhiv 43(5): 105-106
Broi-Kappe, T.A.; Bogdanov, B.S. 1983: Pneumoperitoneum after resuscitation of a patient with bronchial asthma Klinicheskaia Meditsina 61(12): 117-119
Memetov, K.A.; Ipatov, A.I.; Shilov, A.M.; Ivanov, K.M.; Kompaneĭtseva, L.A. 1981: Effect of strophanthin on pulmonary hemodynamics during bronchial asthma attack Terapevticheskii Arkhiv 53(11): 105-108
Iuldasheva, I.A. 2004: The status of pulmonary vascular endothelium in patients with bronchial asthma Klinicheskaia Meditsina 82(5): 36-39
Bobrov, V.A.; Polivoda, S.N.; Bondareva, V.N. 1982: Hemodynamics, serotonin and monoamine oxidase in bronchial asthma and systemic arterial hypertension Klinicheskaia Meditsina 60(11): 63-66