Article
Cardiac & Cardiovascular Systems
Dana P. McGlothlin, John Granton, Walter Klepetko, Maurice Beghetti, Erika B. Rosenzweig, Paul A. Corris, Evelyn Horn, Manreet K. Kanwar, Karen Mcrae, Antonio Roman, Ryan Tedford, Roberto Badagliacca, Sonja Bartolome, Raymond Benza, Marco Caccamo, Rebecca Cogswell, Celine Dewachter, Laura Donahoe, Elie Fadel, Harrison W. Farber, Jeffrey Feinstein, Veronica Franco, Robert Frantz, Michael Gatzoulis, Choon Hwa (Anne) Goh, Marco Guazzi, Georg Hansmann, Stuart Hastings, Paul M. Heerdt, Anna Hemnes, Antoine Herpain, Chih-Hsin Hsu, Kim Kerr, Nicholas A. Kolaitis, Jasleen Kukreja, Michael Madani, Stuart McCluskey, Michael McCulloch, Bernhard Moser, Manchula Navaratnam, Goran Radegran, Cara Reimer, Laurent Savale, Oksana A. Shlobin, Jana Svetlichnaya, Keith Swetz, Jessica Tashjian, Thenappan Thenappan, Carmine Dario Vizza, Shawn West, Warren Zuckerman, Andreas Zuckermann, Teresa De Marco
Summary: This document is the first international consensus statement on the perioperative management of patients with pulmonary hypertension and right heart failure. It provides recommendations for managing patients with pulmonary hypertension being considered for surgery, including preoperative risk assessment, planning, intra- and postoperative monitoring and management strategies that can improve outcomes.
JOURNAL OF HEART AND LUNG TRANSPLANTATION
(2022)
Review
Medicine, General & Internal
Kurt J. Pfeifer, Angela Selzer, Christopher M. Whinney, Barbara Rogers, Amar S. Naik, Dennis Regan, Carlos E. Mendez, Richard D. Urman, Karen Mauck
Summary: Perioperative medication management is crucial for preoperative optimization but lacks literature guidance. SPAQI offers guidance based on literature and multidisciplinary consensus, aiming to provide practical recommendations for preoperative medication management.
MAYO CLINIC PROCEEDINGS
(2021)
Article
Anesthesiology
Natalia Diaz-Rodriguez, Sinead M. Nyhan, Todd M. Kolb, Jochen Steppan
Summary: This manuscript provides a comprehensive review of the impact of pulmonary hypertension on the perioperative management of cardiac surgery patients, emphasizing the importance of a multidisciplinary approach.
JOURNAL OF CARDIOTHORACIC AND VASCULAR ANESTHESIA
(2022)
Review
Respiratory System
Debabrata Bandyopadhyay, Christopher Lai, Juan N. Pulido, Ricardo Restrepo-Jaramillo, Adriano R. Tonelli, Marc Humbert
Summary: The perioperative management of patients with pulmonary hypertension presents a significant challenge due to the need to focus on preserving right ventricular function and maintaining appropriate hemodynamics throughout each stage of care. Comprehensive perioperative evaluation, appropriate choice of anesthesia, proper fluid management, and attention to ventilation and pain control are crucial for successful outcomes in these patients. Despite advances in understanding, the lack of evidence-based guidelines remains a limitation in navigating the complexities of caring for PH patients in the perioperative setting.
EUROPEAN RESPIRATORY REVIEW
(2021)
Article
Medicine, General & Internal
Xiaofeng Lei, Xuezhu Huang
Summary: The anesthesia management of fetal pulmonary valvuloplasty (FPV) is complex and requires consideration of both the mother and the fetus. This case report highlights the successful use of combined spinal epidural anesthesia (CSEA) with dexmedetomidine for FPV in a pregnant woman. The maternal vital signs remained stable, and the fetal anesthesia was effective, with fetal bradycardia corrected by epinephrine. A healthy baby was delivered four months postoperatively.
Article
Medicine, Research & Experimental
Dan Zhou, Xi Zhu, Likuan Wang, Xudong Yang, Yun Liu, Xiang Zhang
Summary: The study aimed to compare the effects of propofol and sevoflurane on the incidence of postoperative pulmonary complications in head and neck cancer surgery. The results showed a significantly lower incidence of PPCs in the sevoflurane group compared to the propofol group, especially in patients who underwent tracheotomy postoperatively.
Article
Multidisciplinary Sciences
Huayong Jiang, Xiujuan Wu, Shumei Lian, Changfeng Zhang, Shuyun Liu, Zongming Jiang
Summary: In patients with COPD, the use of salbutamol accelerates the wash-in rate of sevoflurane and reduces the occurrence of bronchospasm and pulmonary infiltration within the first 7 days postoperatively.
Article
Medicine, General & Internal
Hyung Joon Park, Seung Ho Park, Un Tak Woo, Sang Yun Cho, Woo Jae Jeon, Woo Jong Shin
Summary: This case report describes a unilateral alveolar hemorrhage associated with NPPE in an elderly male patient with longstanding asthma who bit the endotracheal tube due to airway obstruction at the end of surgery. Anesthesiologists should be cautious not to induce airway irritation during the awakening process in asthma patients to prevent diffuse alveolar hemorrhage with NPPE.
WORLD JOURNAL OF CLINICAL CASES
(2021)
Review
Medicine, General & Internal
Emre Sertac Bingul, Nuezhet Mert Senturk, Ata Murat Kaynar
Summary: Prehabilitation is an approach aimed at improving the physical condition of patients before surgery through exercise capacity, nutritional status, and psychological support. It may have significant benefits in reducing perioperative morbidity, especially for frail lung cancer surgery patients. It plays an important role in the Enhanced Recovery After Surgery protocols and has potential for the future.
FRONTIERS IN MEDICINE
(2023)
Article
Cardiac & Cardiovascular Systems
Marc de Perrot, Karen McRae, Yaron Shargall, Laura Pletsch, Kongteng Tan, Peter Slinger, Martin Ma, Narinder Paul, Jakov Moric, John Thenganatt, Susanna Mak, John T. Granton
Summary: Pulmonary endarterectomy (PEA) in severe chronic thromboembolic pulmonary hypertension (CTEPH) is associated with higher risks, but recent evidence suggests that these risks may be mitigated with the use of extracorporeal membrane oxygenation (ECMO).
ANNALS OF CARDIOTHORACIC SURGERY
(2022)
Article
Anesthesiology
Fu-Kai Hsu, Hung-Wei Cheng, Wei-Nung Teng, Po-Kuei Hsu, Han-Shui Hsu, Wen-Kuei Chang, Chien-Kun Ting
Summary: There is no significant difference in the incidence of postoperative pulmonary complications (PPCs) between patients undergoing lung resection surgery (LRS) under total intravenous anesthesia (TIVA) and those under volatile anesthesia. However, TIVA is associated with a shorter length of hospital stay (LOS) and a lower incidence of postoperative nausea and vomiting (PONV).
BMC ANESTHESIOLOGY
(2023)
Article
Pharmacology & Pharmacy
Xinmei Li, Te Li
Summary: OPLS-DA combined with S-plot is a feasible method for analyzing clinical examination data in patients with pulmonary arterial hypertension associated with congenital heart disease (PAH-CHD). Interventional closure is the preferred treatment option, and postoperative combination of bosentan and sildenafil is more effective than bosentan alone. Early treatment is recommended to prevent recurrence.
FRONTIERS IN PHARMACOLOGY
(2021)
Review
Medicine, General & Internal
Zyad J. Carr, Luying Yan, Jose Chavez-Duarte, Jill Zafar, Adriana Oprea
Summary: This narrative review outlines the current evidence on optimal perioperative management of idiopathic pulmonary fibrosis (IPF). Postoperative pulmonary complications pose a significant barrier to safe perioperative care of IPF patients. Medical optimization of IPF patients before surgery is crucial for minimizing this risk.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2022)
Article
Anesthesiology
Philip J. Peyton, Grace Liskaser, Alexander Ho, Harry Marsh, Christopher Etherington, Frederick Torlot, Manisha Desai, George Perrett, Brian Chee, Kate Leslie, Paul S. Myles
Summary: This study collected post hoc data from the Australian cohort of the ENIGMA II trial and found that nitrous oxide anesthesia was associated with a lower incidence of lung atelectasis but had no effect on pneumonia.
Review
Pharmacology & Pharmacy
Ruihua Zhang, Tengfei Li, Yueming Shao, Wei Bai, Xiaoyu Wen
Summary: This study systematically reviewed and meta-analyzed the therapeutic effect of PAH agents on POPH. The results showed that PAH agents can improve cardiopulmonary hemodynamics and cardiac function in patients with POPH, especially in patients with moderate to severe POPH.
FRONTIERS IN PHARMACOLOGY
(2022)