Anesthesia considerations for children with pulmonary hypertension

被引:13
|
作者
Shukla, Avinash C. [1 ]
Almodovar, Melvin C. [2 ]
机构
[1] Harvard Univ, Sch Med, Childrens Hosp Boston, Dept Anesthesiol, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Childrens Hosp Boston, Div Cardiovasc Intens Care,Dept Cardiol, Boston, MA USA
关键词
acute pulmonary hypertension; chronic pulmonary hypertension; premedication; ischemia; nitric oxide; bicarbonate; SYSTEMIC HEMODYNAMIC-RESPONSES; CONGENITAL HEART-DISEASE; VASCULAR-RESISTANCE; CARDIAC-ARREST; ARTERIAL-HYPERTENSION; CATHETERIZATION; KETAMINE; INFANTS; ETOMIDATE; INDUCTION;
D O I
10.1097/PCC.0b013e3181c76c6e
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Children with pulmonary arterial hypertension undergoing anesthesia pose a challenge. The prevalence of morbidity and mortality in this subgroup is substantially greater than that in the general population. In this article, we attempt to describe the adverse events that occur and also identify some of the factors that may precipitate them. We also suggest mechanisms to attenuate or prevent these crises. (Pediatr Crit Care Med 2010; 11[Suppl.]:S70-S73)
引用
收藏
页码:S70 / S73
页数:4
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