• Anaesthesia · Jan 2015

    Review

    Pulmonary hypertension and its management in patients undergoing non-cardiac surgery.

    • S A Pilkington, D Taboada, and G Martinez.
    • Department of Anaesthesia, The Queen Elizabeth Hospital NHS Foundation Trust, King's Lynn, UK.
    • Anaesthesia. 2015 Jan 1; 70 (1): 56-70.

    AbstractPulmonary 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. © 2014 The Association of Anaesthetists of Great Britain and Ireland.

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