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Current Anesthesiology Reports

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01-12-2019 | Pulmonary Hypertension | Thoracic Anesthesia (T Schilling, Section Editor)

Pulmonary Hypertension and Thoracic Surgery: Impact and Treatment Options

Authors: Loren Francis, Stephanie Whitener, Jared McKinnon, George Whitener

Published in: Current Anesthesiology Reports | Issue 4/2019

Abstract

Purpose of Review

The purpose of this paper is to review updates to the definition of pulmonary hypertension (PH), its diagnosis, and management. New treatment options, the role of mechanical support, outcome studies, and intraoperative management will be emphasized.

Recent Findings

The definition of PH has been recently changed, with a decrease in the qualifying mean pulmonary artery pressure and the addition of pulmonary vascular resistance. There have been minor changes to PH classifications. Some new medications are available to treat PH, and new associations between drugs and PH have been discovered. Recommended intraoperative management strategies are included. Updated outcome studies are discussed, as well as the potential role of mechanical devices for managing PH patients during or after thoracic surgery.

Summary

Pulmonary hypertension (PH) comprises a complex group of pathologies that can be difficult to identify and care for perioperatively. Caring for patients with PH requires cardiovascular management expertise, familiarity with medicines used to treat PH, and the ability to accurately interpret diagnostic data and hemodynamic monitors.

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Title: Pulmonary Hypertension and Thoracic Surgery: Impact and Treatment Options
Authors: Loren Francis
Stephanie Whitener
Jared McKinnon
George Whitener
Publication date: 01-12-2019
Publisher: Springer US
Keywords: Pulmonary Hypertension
Pulmonary Hypertension
Milrinone
Pulmonary Hypertension
Pulmonary Hypertension
Published in: Current Anesthesiology Reports / Issue 4/2019
Electronic ISSN: 2167-6275
DOI: https://doi.org/10.1007/s40140-019-00360-x

At a glance: The STEP trials

Springer Medicine

Pulmonary Hypertension and Thoracic Surgery: Impact and Treatment Options

Abstract

Purpose of Review

Recent Findings

Summary

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose of Review

Recent Findings

Summary

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