Management of adult patients with perioperative pulmonary hypertension: technical aspects and therapeutic options.

Author: AntoniouTheofani, LoukanovTsvetomir, WinterhalterMichael

Paper Details 
Original Abstract of the Article :
Pulmonary hypertension (PH) is an independent risk factor for increased mortality in patients undergoing heart surgery. Existing chronic PH may be exacerbated by acute post-bypass PH, and this can lead to acute right ventricular failure. The prevention and treatment of right ventricular failure in c...See full text at original site
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引用元:
https://doi.org/10.1159/000313863

データ提供:米国国立医学図書館(NLM)

Managing Pulmonary Hypertension in Cardiac Surgery: A Complex Balancing Act

Cardiac surgery presents unique challenges, particularly in the context of pulmonary hypertension (PH), a serious condition that increases the risk of mortality in patients undergoing heart surgery. This research delves into the complexities of managing PH in cardiac surgery, exploring the technical aspects and therapeutic options available for treating this challenging condition.

A Delicate Dance: Optimizing Patient Care in the Face of Pulmonary Hypertension

The study highlights the importance of a multipronged approach to managing PH in cardiac surgery. Strategies include optimizing right ventricular preload, improving right ventricular contractility, and minimizing right ventricular afterload. The research also explores the use of inhaled nitric oxide (NO) and iloprost, a stable prostacyclin analogue, as potential therapeutic interventions for managing PH in this setting. This research provides valuable insights into the technical and therapeutic challenges associated with managing PH in cardiac surgery, emphasizing the importance of a careful and coordinated approach to patient care.

A Crucial Balance: Optimizing Patient Outcomes Through Early Intervention

This research underscores the critical role of early intervention and a proactive approach in managing PH during cardiac surgery. The study emphasizes the importance of careful monitoring, a multidisciplinary team, and prompt treatment, particularly with inhaled iloprost and/or NO, to optimize patient outcomes. This research is like a desert expedition, where careful planning, teamwork, and quick action are essential for navigating the challenging terrain and ensuring the success of the journey.

Dr.Camel's Conclusion

This research is like a desert oasis, offering a vital resource for managing pulmonary hypertension during cardiac surgery. The study highlights the importance of a multidisciplinary approach, early intervention, and careful monitoring to ensure the best possible outcomes for patients facing this challenging condition. Just as an oasis provides respite in a harsh desert environment, this research offers valuable insights into the complexities of managing PH, empowering healthcare providers to navigate this challenging landscape with greater confidence.

Date :
  1. Date Completed 2010-09-16
  2. Date Revised 2013-11-21
Further Info :

Pubmed ID

20424446

DOI: Digital Object Identifier

10.1159/000313863

Related Literature

SNS
PICO Info
in preparation
Languages

English

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