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Case Reports
, 65 (5), 526-9

[Anesthetic Management for Non-cardiac Surgery in a Patient With Severe Pulmonary Arterial Hypertension]

[Article in Japanese]
  • PMID: 27319099
Case Reports

[Anesthetic Management for Non-cardiac Surgery in a Patient With Severe Pulmonary Arterial Hypertension]

[Article in Japanese]
Sho Ohno et al. Masui.

Abstract

Severe pulmonary arterial hypertension is a significant risk factor for anesthetic management in patients undergoing even non-cardiac surgery. A 64-year-old female patient with severe pulmonary arterial hypertension was scheduled to undergo inguinal hernioplasty. Preoperative systolic pulmonary arterial pressure was 115 mmHg. We selected monitored anesthesia care with 0.2-0.5 μg x kg(-1) x hr(-1) dexmedetomidine and ultrasound-guided iliohypogastric block. Thereafter, LiDCOrapid was used to acquire the hemodynamic responses during surgery. Continuous iliohypogastric block produced postoperative pain relief and the supplemental analgesic was not needed. The monitored anesthesia care by dexmedetomidine and ultrasound guided continuous iliohypogastric block would be a safe procedure for patients with severe pulmonary arterial hypertension undergoing non-cardiac surgery. LiDCO rapid could be low invasive and useful as a hemodaynamic monitor in such a case.

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