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Background <p>Pulmonary hypertension (PH) is associated with a&#xa0;substantial increase in perioperative morbidity and mortality.</p> Objective <p>Perioperative management of pulmonary hypertension according to current data.</p> Material and methods <p>Analysis of the current literature, presentation and discussion of basic research and expert recommendations as well as presentation of two case reports.</p> Results <p>There is a&#xa0;lack of reliable and high-quality literature. A&#xa0;precise preoperative risk evaluation and individual treatment planning are mandatory for patients with PH.</p> Conclusion <p>Spinal anesthesia, thoracic epidural anesthesia or a&#xa0;combination of both can be an alternative to general anesthesia in patients with a&#xa0;high preoperative risk profile. A&#xa0;differentiated vasopressor and inotropic treatment is necessary to maintain physiological target parameters in PH. The early referral to a&#xa0;center with appropriate expertise is recommended in PH.</p>

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Rückenmarknahe Regionalanästhesieverfahren im perioperativen Management bei pulmonaler Hypertonie

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年9月30日

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  • Danilo Hackner,
  • Dorothea Lange,
  • Caroline Gräfe,
  • Joachim Andrassy,
  • Dionysios Koliogiannis,
  • Patrick Scheiermann

摘要

Background

Pulmonary hypertension (PH) is associated with a substantial increase in perioperative morbidity and mortality.

Objective

Perioperative management of pulmonary hypertension according to current data.

Material and methods

Analysis of the current literature, presentation and discussion of basic research and expert recommendations as well as presentation of two case reports.

Results

There is a lack of reliable and high-quality literature. A precise preoperative risk evaluation and individual treatment planning are mandatory for patients with PH.

Conclusion

Spinal anesthesia, thoracic epidural anesthesia or a combination of both can be an alternative to general anesthesia in patients with a high preoperative risk profile. A differentiated vasopressor and inotropic treatment is necessary to maintain physiological target parameters in PH. The early referral to a center with appropriate expertise is recommended in PH.