Department of Respiratory Medicine, Hannover Medical School, Hannover, Germany, German Centre for Lung Research (DZL), Germany.
Medical Clinic 1/Pneumology, University Hospital Carl Gustav Carus, Dresden, Germany.
Int J Cardiol. 2018 Dec 1;272S:46-52. doi: 10.1016/j.ijcard.2018.08.081. Epub 2018 Aug 26.
In June 2016, members of the German Society of Cardiology (DGK), the German Society of Respiratory Medicine (DGP) and the German Society of Pediatric Cardiology (DGPK) met for a Consensus Conference in Cologne, Germany. Aim of this Conference was to compile consensus based practice recommendations based on the 2015 European Pulmonary Hypertension guidelines, aiming at their practical implementation, considering country-specific issues, and including new evidence, where available. This article summarizes the results and updated recommendations 2018 of the working group on decompensated right heart failure (RHF), intensive care and perioperative management in patients with pulmonary hypertension. The RHF section comprises definition and pathophysiology, diagnosis and monitoring, identification of triggering factors and supportive therapy of RHF, volume management as well as PAH targeting therapy, therapy with inotropic, inodilator and vasopressor drugs, extracorporeal support and transplantation. The second part of this article summarizes preoperative management, perioperative monitoring and choice of anesthesia.
2016 年 6 月，德国心脏病学会（DGK）、德国呼吸学会（DGP）和德国儿科心脏病学会（DGPK）的成员在德国科隆举行了共识会议。本次会议的目的是根据 2015 年欧洲肺动脉高压指南，基于共识制定实践建议，旨在考虑特定国家的问题，并纳入现有新证据。本文总结了 2018 年肺动脉高压失代偿性右心衰竭（RHF）、重症监护和围手术期管理工作组的结果和更新建议。RHF 部分包括定义和病理生理学、诊断和监测、触发因素的识别和 RHF 的支持治疗、容量管理以及肺动脉高压靶向治疗、正性肌力、正性肌力和血管加压药物治疗、体外支持和移植。本文的第二部分总结了术前管理、围手术期监测和麻醉选择。
