在肺动脉血栓内膜切除术麻醉诱导中使用氯胺酮：病例系列研究。
The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case series.
机构信息
Department of Anaesthesia, Royal Papworth Hospital, Cambridge, UK.
Department of Cardiac Surgery, Royal Papworth Hospital, Cambridge, UK.
出版信息
Ann Card Anaesth. 2022 Oct-Dec;25(4):528-530. doi: 10.4103/aca.aca_24_21.
Pulmonary thromboendarterectomy (PTE) surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension (CTEPH). The induction of anesthesia in patients with severe pulmonary hypertension (PHT) can be challenging, with a risk of cardiovascular collapse. The administration of ketamine in patients with PHT is controversial, with some recommendations contraindicating its use. However, ketamine has been used safely in children with severe PHT. We present a retrospective case series of adult patients with severe PHT presenting for PTE surgery, using intravenous ketamine as a co-induction anesthetic agent.
肺血栓内膜切除术（PTE）是治疗慢性血栓栓塞性肺动脉高压（CTEPH）患者的首选方法。严重肺动脉高压（PHT）患者的麻醉诱导具有挑战性，存在心血管崩溃的风险。在 PHT 患者中使用氯胺酮存在争议，有些建议禁止使用。然而，氯胺酮已在患有严重 PHT 的儿童中安全使用。我们报告了一组接受 PTE 手术的严重 PHT 成年患者的回顾性病例系列，使用静脉内氯胺酮作为辅助诱导麻醉剂。
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