Pulmonary hypertension: pathophysiology, diagnosis, treatment and anesthetic considerations
Carrión García, J.L.; Vicente Guillén, R.; Rodríguez Argente, G.
Revista Espanola de Anestesiologia y Reanimacion 54(2): 93-108
2007
ISSN/ISBN: 0034-9356 PMID: 17390691 Document Number: 611777
Pulmonary artery hypertension is a rare entity but one that presents genuine challenges during anesthesia mainly because of the high risk of exacerbation and right heart failure during and after surgery. This review covers currently available treatments, the battery of diagnostic procedures at our disposal, and the basic precepts for the perioperative management of patients with this condition. Adequate hemodynamic control and the early use of selective pulmonary vasodilators are absolutely essential.