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  3. Anaesthesia For The Patient With Pulmonary Hypertension

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General Topics

Tutorial 228

Anaesthesia For The Patient With Pulmonary Hypertension

Dr Sarah Thomas, Senior Anaesthetic Registrar

Royal Hobart Hospital

Correspondence to sarah.thomas@dhhs.tas.gov.au

20 TH JUNE 2011

Abstract

A feared complication of pulmonary hypertension is right heart failure
Understanding the physiology of right ventricular function and coronary perfusion are important when anaesthetising patients with pulmonary hypertension
Anaesthetic aims in PH are to avoid increased PVR, to avoid marked decreases in venous return or SVR, to avoid myocardial depression and to maintain normal heart rate.

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