4.5 Article

ISHLT consensus statement: Perioperative management of patients with pulmonary hypertension and right heart failure undergoing surgery

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JOURNAL OF HEART AND LUNG TRANSPLANTATION
卷 41, 期 9, 页码 1135-1194

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ELSEVIER SCIENCE INC
DOI: 10.1016/j.healun.2022.06.013

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pulmonary hypertension; pulmonary arterial hypertension; surgery; anesthesia; congenital heart disease; pediatric pulmonary hypertension

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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.
Pulmonary hypertension (PH) is a risk factor for morbidity and mortality in patients undergoing surgery and anesthesia. This document represents the first international consensus statement for the perioperative management of patients with pulmonary hypertension and right heart failure. It includes recommendations for managing patients with PH being considered for surgery, including preoperative risk assessment, planning, intra- and postoperative monitoring and management strategies that can improve outcomes in this vulnerable population. This is a comprehensive document that includes common perioperative patient populations and surgical procedures with unique considerations. (C) 2022 International Society for Heart and Lung Transplantation. All rights reserved.

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