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Pulmonary hypertension and its management in patients undergoing non‐cardiac surgery
Author(s) -
Pilkington S. A.,
Taboada D.,
Martinez G.
Publication year - 2015
Publication title -
anaesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.839
H-Index - 117
eISSN - 1365-2044
pISSN - 0003-2409
DOI - 10.1111/anae.12831
Subject(s) - medicine , pulmonary hypertension , pathophysiology , intensive care medicine , modalities , disease , heart failure , cardiology , cardiac surgery , social science , sociology
Summary Pulmonary hypertension is a complex disorder of the pulmonary vasculature that leads to increased peri‐operative morbidity and mortality. Non‐cardiac surgery constitutes a significant risk in patients with pulmonary hypertension. The management of right ventricular failure is inherently challenging and fraught with life‐threatening consequences. A thorough understanding of the pathophysiology, the severity of the disease and its treatment modalities is required to deliver optimal peri‐operative care. This review provides an evidence‐based overview of the definition, classification, pathophysiology, diagnosis and treatment of pulmonary hypertension and focuses on the peri‐operative management and treatment of pulmonary hypertensive crises in a non‐cardiac setting.