What must be considered in the perioperative management of pulmonary hypertension (PH)?

Updated: Sep 11, 2019
  • Author: Swapnil Khoche, MBBS, DNB, FCARCSI; Chief Editor: Sheela Pai Cole, MD  more...
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Answer

Answer

Although PH is defined in terms of elevated pulmonary pressures, it is important to recognize that the elevated pressure, in and of itself, is probably much less directly harmful to patients than is the resulting impairment of the right heart's ability to pump blood through the pulmonary circulation. Vigilant perioperative management of patients with PH is essential for keeping them safe and requires an understanding not only of the pathophysiology of PH but also of the effects of anesthetic agents and positive-pressure ventilation (PPV).


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