Liu Jinhong, Nahrwold Daniel A, Serdiuk Andrew A, Koontz Dave B, Fontaine Jacques-Pierre
Department of Anesthesia, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Department of Thoracic Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Am J Case Rep. 2019 Jul 11;20:998-1001. doi: 10.12659/AJCR.916330.
BACKGROUND It is very challenging for anesthesiologists to manage patients with pulmonary hypertension undergoing general anesthesia for elective or emergent surgeries. CASE REPORT We present a patient with severe pulmonary hypertension going through a major robotic thoracic surgery. CONCLUSIONS A goal-directed anesthesia management algorithm based on serial stroke volume (SV) values obtained from FloTrac (Edwards Lifesciences, LLC.) minimally invasive arterial pressure sensor was utilized in an attempt to reduce the anesthetic and surgical risk associated with severe pulmonary hypertension.
对于麻醉医生来说,管理患有肺动脉高压的患者接受择期或急诊手术的全身麻醉极具挑战性。
我们介绍了一位患有严重肺动脉高压并接受大型机器人辅助胸外科手术的患者。
采用了一种基于从爱德华生命科学有限责任公司的FloTrac微创动脉压传感器获得的连续每搏量(SV)值的目标导向麻醉管理算法,试图降低与严重肺动脉高压相关的麻醉和手术风险。