Unrecognized Pulmonary Hypertension in Non-Cardiac Surgical Patients: At-Risk Populations, Preoperative Evaluation, Intraoperative Management and Postoperative Complications.

非心脏外科手术患者中未识别的肺动脉高压 ： 高危人群 ，术前评估,术中管理和术后并发症。

• 影响指数: 4.415
• 发表时间: 2023 Sep 19
• 来源期刊: J Cardiovasc Dev Dis
• DOI: 10.3390/jcdd10090403
• PMID: 37754832
• 文章类型: Journal Article
• 作者列表: Kaw RK

关键词: non-cardiac surgery; perioperative monitoring; pulmonary hypertension; right ventricular failure

Abstract

Pulmonary hypertension is a well-established independent risk factor for perioperative complications after elective non-cardiac surgery. Patients undergoing cardiac surgery are routinely evaluated for the presence of pulmonary hypertension in the preoperative period. Better monitoring in the postoperative critical care setting leads to more efficient management of potential complications. Data among patients with pulmonary hypertension undergoing elective non-cardiac surgery are scant. Moreover, the condition may be unidentified at the time of surgery. Also, monitoring after non-cardiac surgery can be very limited in the PACU setting, as opposed to the critical care setting. All these factors can result in a higher postoperative complication rate and poor outcomes.

摘要

肺动脉高压是择期非心脏手术围手术期并发症的独立危险因素。常规评估接受心脏手术的患者在术前期间是否存在肺动脉高压。在术后重症监护环境中进行更好的监测可以更有效地管理潜在的并发症。接受选择性非心脏手术的肺动脉高压患者的数据很少。此外，手术时可能无法识别。此外，非心脏手术后的监测在PACU设置中可能非常有限，与重症监护环境相反。所有这些因素都可能导致较高的术后并发症发生率和不良预后。