Anesthetic Management of the Adult Patient with Concomitant Cardiac and Pulmonary Disease

Abstract

Several common diseases of the cardiac and pulmonary systems and the interactions of the two in disease and anesthetic management are discussed. Management of these disease processes in isolation is reviewed and how the management of one organ system impacts another is then explored. For example, in a patient with acute lung injury and right heart failure, lung-protective ventilation may directly conflict with strategies to minimize right heart afterload. Such challenging clinical scenarios require appreciation of each disease entity, their appropriate management, and the balance between competing priorities.

Keywords: Anesthesia; Asthma; COPD; Diastolic heart failure; Obstructive lung disease; Pulmonary hypertension; Restrictive lung disease; Systolic heart failure.