Patients with pulmonary hypertension and right ventricular failure are at very high risk to develop postoperative severe cardiorespiratory complications and death. Traditionally these high-risk patients were denied non-emergent elective operations. Nevertheless, with improved medical care the life expectancy of these patients has improved considerably, and thus the likelihood that these patients will require elective surgeries and other invasive procedures that require general anesthesia has increased. The current session will focus on the design of a multidisciplinary-based anesthetic approach for these patients. It will focus on the preoperative evaluation, intraoperative anesthetic care and postoperative recovery in the ICU. The discussion will include but will not be limited to the use of inhaled pulmonary vasodilators, hemodynamic monitoring and pharmacological and non-pharmacological hemodynamic support of the failing RV during and after surgery.
CME Credit: 1.00 AMA PRA Category 1 Credit™
Activity Release Date:
07/23/2019
Activity Expiration Date:
07/22/2022
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