Villafán Vázquez Erick, Acuña Razo Ricardo, Nuñez Rueda Mayra Michelle
Anesthesiology, University Faculty of Medicine Mexicana La Salle, Mexico City, MEX.
Anesthesiology, Unidad Médica de Alta Especialidad (UMAE) Hospital de Especialidades Centro Médico Nacional "La Raza", Mexico City, MEX.
Cureus. 2024 May 1;16(5):e59490. doi: 10.7759/cureus.59490. eCollection 2024 May.
Levosimendan is a medication with a range of pharmacological effects, making it appropriate for use in several clinical settings, including advanced heart failure with pulmonary hypertension, cardiogenic shock, and acute heart failure. This case report details the perioperative management of a male in their 40s with a complex medical history, including primary hypoparathyroidism, cirrhosis, and severe pulmonary hypertension, who underwent urgent cadaveric donor liver transplantation. Information available on the perioperative use of levosimendan is still insufficient to be able to regulate behaviors that can guide its management on a regular basis.
左西孟旦是一种具有多种药理作用的药物,适用于多种临床情况,包括伴有肺动脉高压的晚期心力衰竭、心源性休克和急性心力衰竭。本病例报告详细介绍了一名40多岁男性患者的围手术期管理情况,该患者有复杂的病史,包括原发性甲状旁腺功能减退、肝硬化和严重肺动脉高压,接受了紧急尸体供肝移植。关于左西孟旦围手术期使用的现有信息仍不足以规范能够定期指导其管理的行为。