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01-08-2010 | Clinical Report

Monitored anesthesia care with dexmedetomidine of a patient with severe pulmonary arterial hypertension for inguinal hernioplasty

Authors: Hiromi Shinohara, Kiichi Hirota, Masami Sato, Masahiro Kakuyama, Kazuhiro Fukuda

Published in: Journal of Anesthesia | Issue 4/2010

Abstract

The presence of severe pulmonary arterial hypertension (PAH) is a significant risk factor of major perioperative cardiovascular complications in patients undergoing even non-cardiac surgery under anesthetic management. The most important aspect of perioperative care of PAH patients is to avoid pulmonary hypertensive crisis, which can be induced by alveolar hypoxia, hypoxemia, hypercarbia, metabolic acidosis, airway manipulations, and activation of the sympathetic nervous system by noxious stimuli. We report a case of successful monitored anesthesia care supplemented by dexmedetomidine for inguinal hernioplasty of a patient with severe PAH secondary to congenital heart disease.

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Title: Monitored anesthesia care with dexmedetomidine of a patient with severe pulmonary arterial hypertension for inguinal hernioplasty
Authors: Hiromi Shinohara
Kiichi Hirota
Masami Sato
Masahiro Kakuyama
Kazuhiro Fukuda
Publication date: 01-08-2010
Publisher: Springer Japan
Published in: Journal of Anesthesia / Issue 4/2010
Print ISSN: 0913-8668
Electronic ISSN: 1438-8359
DOI: https://doi.org/10.1007/s00540-010-0959-5

At a glance: The STEP trials

Springer Medicine

Monitored anesthesia care with dexmedetomidine of a patient with severe pulmonary arterial hypertension for inguinal hernioplasty

Abstract

At a glance: The STEP trials

Springer Medicine

Abstract

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