Critical Care of Patients After Pulmonary Thromboendarterectomy.

Abstract:

:Pulmonary thromboendarterectomy (PTE) remains the only curative surgery for patients with chronic thromboembolic pulmonary hypertension (CTEPH). Postoperative intensive care unit care challenges providers with unique disease physiology, operative sequelae, and the potential for detrimental complications. Central concerns in patients with CTEPH immediately after PTE relate to neurologic, pulmonary, hemodynamic, and hematologic aspects. Institutional experience in critical care for the CTEPH population, a multidisciplinary team approach, patient risk assessment, and integration of current concepts in critical care determine outcomes after PTE surgery. In this review, the authors will focus on specific aspects unique to this population, with integration of current available evidence and future directions. The goal of this review is to provide the cardiac anesthesiologist and intensivist with a comprehensive understanding of postoperative physiology, potential complications, and contemporary intensive care unit management immediately after pulmonary endarterectomy.

authors

Kratzert WB,Boyd EK,Saggar R,Channick R

doi

10.1053/j.jvca.2019.03.005

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

3110-3126

issue

11

eissn

1053-0770

issn

1532-8422

pii

S1053-0770(19)30265-4

journal_volume

33

pub_type

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