What are the postoperative hemodynamics following lung transplantation?

Updated: Aug 19, 2019
  • Author: Bryan A Whitson, MD, PhD; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

Postoperative hypotension may be related to hypovolemia, sepsis, or vascular anastomotic complications. Left or right ventricular failure secondary to myocardial ischemia or infarction should be considered in the differential.

Postoperative supraventricular dysrhythmias are common in the initial few weeks. The dysrhythmias may occur because of electrolyte abnormalities, hypervolemia, or inotropic drugs, and secondary to intraoperative manipulation of the heart. The arrhythmias respond to routine management with calcium channel blockers or amiodarone, and, sometimes, electrical cardioversion is performed if hemodynamic collapse is present.


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