Management of the peri-intubation period in patients with pulmonary arterial hypertension and respiratory failure

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发表日期：

2024年6月24日

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Alexander I. Papolos,
Benjamin B. Kenigsberg,
Daniel R. Austin,
Christopher F. Barnett

摘要

Purpose of Review

The endotracheal intubation of patients with pulmonary arterial hypertension (PAH) in respiratory distress is a highly morbid procedure that can precipitate hemodynamic collapse. Here we review our strategy for confronting this difficult clinical situation.

Recent findings

There are no clinical trials that explore best practices in the management of patients with PAH and respiratory failure.

Summary

Here we provide a practical approach to respiratory support, inopressor and pulmonary vasodilator selection, hemodynamic considerations, point-of-care ultrasound monitoring, and endotracheal intubation in patients with PAH in respiratory failure.