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Perioperative anesthetic considerations in patients with pulmonary hypertension undergoing non-cardiac and non-obstetric surgeries
Med Biol Sci Eng 2019;2(2):31-39
Published online July 31, 2019
© 2019 Medical Biological Science and Engineering.

Jong Sik Seo1, Keum Young So2,3, Sang Hun Kim2,3

1Department of Medicine, Graduate School of Chosun University, 2Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University, 3Department of Anesthesiology and Pain Medicine, Chosun University Hospital, Gwangju, Korea
Correspondence to: Sang Hun Kim
Department of Anesthesiology and Pain Medicine, School of Medicine, Chosun University, 309, Pilmun-daero, Dong-gu, Gwangju 61452, Korea
Tel: +82-62-220-3223
Fax: +82-62-223-2333
E-mail: ksh3223@chosun.ac.kr
ORCID: https://orcid.org/0000-0003-3869-9470
Received May 31, 2019; Accepted July 9, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
The management of pulmonary hypertension (PH), one of the most important perioperative risk factors, is innately challenging to anesthesiologists owing to its life-threatening consequences. The number of patients with PH has increased because of the development of more effective treatment and advanced hemodynamic monitoring, which consequently result in a longer life-expectancy. By understanding the associated risk factors, utilizing therapies based on PH classification, and performing careful perioperative anesthetic planning and management, we can safely perform elective surgeries or procedures on these patients. In particular, the perioperative management of patients with PH requires a multidisciplinary approach, which is aimed at carefully optimizing hemodynamics, minimizing risk factors, and aggressively treating complications. This review provides an evidence-based overview of the definition and classification of and treatments for PH, while also focusing on the perioperative management and treatment of patients with PH in non-cardiac and non-obstetric settings.
Keywords : Anesthesia; Hypertension; Pulmonary; Perioperative care/methods
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