Review Article
Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension
Table 11
Specific interventions for therapy of intra- and/or postoperative increase of pulmonary arterial pressure (mod. [
30,
31,
38,
39,
48,
59,
60]).
| Reduction of right-ventricular afterload: |
| Intravenous vasodilation | | (1) Milrinone | 50 μg/kgBW bolus, followed by 0,5–0,75 μg/kgBW/min continuously | (2) Dobutamine | 2–5 μg/kgBW/min continuously | (3) Prostacyclin | 4–10 ng/kgBW/min continuously | (4) Na-nitruprusside | 0,2–0,3 μg/kgBW/min continuously | (5) Nitroglycerine | 2–10 μg/kgBW/min continuously | Pulmonary-selective inhalative vasodilatation | | (1) Iloprost | 5–10 μg for 10–15 min (by untrasonic nebulizer) | (2) Nitrogen monoxide | 0,5–20 ppm continuously | (3) Prostacyclin | 30–40 ng/kgBW/min continuously | (4) Milrinone | 2 mg (−5 mg) for 10–15 min (diluted in 10–15 mL NaCl0,9%) |
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