Review Article
Perioperative Anesthesiological Management of Patients with Pulmonary Hypertension
Table 10
Intraoperative “basic treatment” to avoid an increase of pulmonary arterial pressure (mod. [
30,
31,
39,
48,
59]).
| (i) “luxury” oxygenation with inspiratory FiO2 0,6–1,0 | | (ii) Moderate hyperventilation (goal: PaCO2 30–35 mmHg) | | (iii) Avoidance of metabolic acidosis (pH > 7,4) | | (iv) Recruitment maneuver to avoid ventilation/perfusion mismatch | | (v) Low-tidal-volume ventilation to avoid overinflation of aveoli (goal: 6–8 mL/kg ideal body weight) | | (vii) Temperature management to maintain body temperature of 36-37°C | | (viii) “goal-directed” fluid and volume therapy with hemodynamic monitoring | |
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