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Isoflurane and primary pulmonary hypertension
Author(s) -
CHENG D. C. H.,
EDELIST G.
Publication year - 1988
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/j.1365-2044.1988.tb05417.x
Subject(s) - medicine , pulmonary hypertension , decompensation , isoflurane , vascular resistance , anesthesia , cardiology , blood pressure
Summary Primary pulmonary hypertension is a rare and fatal disease. These patients represent an anaesthetic challenge because of the high mortality associated with the marked intra‐operative increase in pulmonary vascular resistance and right ventricular de‐compensation. This is a first case report which demonstrates the safe and beneficial effects of isoflurane in lowering pulmonary arterial pressure and pulmonary vascular resistance in such a patient for a short surgical procedure. The anaesthetic considerations in these patients are discussed.