Table 9: Authors recommendations for the human and structural and technical requirements for the perioperative management of patients with severe pulmonary hypertension.

(i) Established cooperation with cardiologists and pulmonologists (ii) Access to specific medication for the treatment of pulmonary hypertension (iii) Experiences in all procedures of general and regional anesthesia (iv) Experiences in dealing with pulmonary arterial catheterization and the use of inhaled drugs for selective pulmonary vasodilation (v) Intraoperative transesophageal echocardiography (vi) Hemodynamic monitoring in critical care (vii) Specific educational program for “pulmonary hypertension” (viii) Consultants with special experiences in the treatment of pulmonary hypertension (ix) Regular pain visits and/or pain nurses for the perioperative pain therapy