REVIEW ARTICLE |
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Year : 2017 | Volume
: 61
| Issue : 9 | Page : 753-759 |
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Severe pulmonary hypertension and right ventricular failure
Ajay Kumar, Praveen Kumar Neema
Department of Anaesthesiology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
Correspondence Address:
Praveen Kumar Neema 601, Type 5A, All India Institute of Medical Sciences Residents Campus, Kabir Nagar, Raipur - 492 099, Chhattisgarh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/ija.IJA_420_17
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Perioperative management of severe pulmonary hypertension (PH) is challenging. Anaesthesiologists come across perioperative management of such cases during incidental surgeries, surgery for various congenital heart diseases and valvular heart diseases and for caesarean section or painless labour in pregnant patient with Eisenmenger syndrome. Knowledge of pathophysiology of PH and novel drugs acting through different mechanisms is paramount in managing such patients. This review will help understanding pathophysiology of PH, anaesthetising patients with PH, use of novel drugs for PH and use of new mechanical devices for rescue of failing right ventricle. |
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