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2024, Number 10

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Med Int Mex 2024; 40 (10)

Pulmonary hypertension: Preoperative assessment and perioperative care in noncardiac surgery: State of the art

Trujillo FD, Izunza SS, Espinoza GJG, Blas TCU
Full text How to cite this article

Language: Spanish
References: 251
Page: 673-698
PDF size: 702.66 Kb.


Key words:

pulmonary hypertension, Elective surgical procedure, Vasodilators.

ABSTRACT

Pulmonary hypertension is an important complication of many diseases with diverse pathophysiologies and individuals who suffer from it will require an urgent or elective surgical procedure at some point in their lives. This disease is associated with multiple complications in the perioperative period, so risk stratification is appropriate to optimize specific therapy and achieve a favorable prognosis. In daily practice, internists, cardiologists, intensivists, anesthesiologists and related personnel will face this challenging situation, where knowledge of perioperative care in this group of patients is of utmost importance. That is why this update highlights the new clinical stratification, from which appropriate pharmacological management is derived, in addition to mechanical circulatory support during a surgical event if necessary and within the intensive care unit, as well as the recognition of secondary multi-organ damage that will jeopardize the clinical evolution of this vulnerable population.


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