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Intraoperative Goal-Directed Anesthetic Management of the Patient with Severe Pulmonary Hypertension

Jinhong Liu, Daniel A. Nahrwold, Andrew A. Serdiuk, Dave B. Koontz, Jacques-Pierre Fontaine

(Department of Anesthesia, H. Lee Moffitt Cancer Center and Research Institute, Tampa, USA)

Am J Case Rep 2019; 20:998-1001

DOI: 10.12659/AJCR.916330


BACKGROUND: It is very challenging for anesthesiologists to manage patients with pulmonary hypertension undergoing general anesthesia for elective or emergent surgeries.
CASE REPORT: We present a patient with severe pulmonary hypertension going through a major robotic thoracic surgery.
CONCLUSIONS: A goal-directed anesthesia management algorithm based on serial stroke volume (SV) values obtained from FloTrac (Edwards Lifesciences, LLC.) minimally invasive arterial pressure sensor was utilized in an attempt to reduce the anesthetic and surgical risk associated with severe pulmonary hypertension.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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