Steppan Jochen, Diaz-Rodriguez Natalia, Barodka Viachaslau M, Nyhan Daniel, Pullins Erica, Housten Traci, Damico Rachel L, Mathai Stephen C, Hassoun Paul M, Berkowitz Dan E, Maxwell Bryan G, Kolb Todd M
Anesthesiology and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Anesthesia and Critical Care Medicine, The Johns Hopkins University School of Medicine.
Cureus. 2018 Jan 15;10(1):e2072. doi: 10.7759/cureus.2072.
Morbidity and mortality risk increase considerably for patients with pulmonary hypertension (PH) undergoing non-cardiac surgery. Unfortunately, there are no comprehensive, evidence-based guidelines for perioperative evaluation and management of these patients. We present a brief review of the literature on perioperative outcomes for patients with PH and describe the implementation of a collaborative perioperative management program for these high-risk patients at a tertiary academic center.
对于接受非心脏手术的肺动脉高压(PH)患者,其发病和死亡风险会显著增加。不幸的是,目前尚无针对这些患者围手术期评估和管理的全面、循证指南。我们简要回顾了关于PH患者围手术期结局的文献,并描述了在一家三级学术中心为这些高危患者实施的协作围手术期管理计划。