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11 July 2019 : Case report  USA

Intraoperative Goal-Directed Anesthetic Management of the Patient with Severe Pulmonary Hypertension

Unusual or unexpected effect of treatment, Rare coexistence of disease or pathology

Jinhong Liu1ABDEF*, Daniel A. Nahrwold1DEF, Andrew A. Serdiuk1DEF, Dave B. Koontz1BF, Jacques-Pierre Fontaine2EF

DOI: 10.12659/AJCR.916330

Am J Case Rep 2019; 20:998-1001

Abstract

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.

Keywords: Hypertension, Pulmonary, one-lung ventilation, Stroke Volume, Thoracic Surgical Procedures, Anesthesia, General, Early Goal-Directed Therapy, Monitoring, Intraoperative

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923