Review Article
Perioperative Management of Pulmonary Hypertension in Pediatric Cardiac Surgery
Nabil A Mageed, Ibrahim I Abd El Baser* and Hani I Taman
Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt
Ibrahim I Abd El Baser, Department of Anesthesia and Surgical Intensive Care, Faculty of Medicine, Mansoura University, Egypt.
Received Date: March 11, 2020; Published Date: March 17, 2020
Abstract
Pediatric pulmonary hypertension (PH) is associated with many cardiovascular, and pulmonary diseases that result in a high risk of morbidity and mortality. The cause of PH in children is mainly due to congenital heart disease (CHD). The proper preoperative evaluation and the accurate anesthetic management are essential to obtain the best outcome. The perioperative anesthetic goal is directed to avoid pulmonary hypertensive crisis which is associated with poor outcome in children with PH secondary to CHD undergoing cardiopulmonary bypass. The purpose of this review is to discuss the pathophysiology of PH in children with CHD and to show how to avoid and manage the perioperative pulmonary hypertensive crisis.
Keywords: Pulmonary hypertension; Congenital heart diseases; Pulmonary hypertensive crisis; Cardiac surgery; Pulmonary vasodilators
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Nabil A Mageed, Ibrahim I Abd El Baser, Hani I Taman. Perioperative Management of Pulmonary Hypertension in Pediatric Cardiac Surgery. Anaest & Sur Open Access J. 1(3): 2020. ASOAJ.MS.ID.000516.
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