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Review
. 2018 Jan 15;10(1):e2072.
doi: 10.7759/cureus.2072.

Focused Review of Perioperative Care of Patients with Pulmonary Hypertension and Proposal of a Perioperative Pathway

Jochen Steppan  1 , Natalia Diaz-Rodriguez  2 , Viachaslau M Barodka  1 , Daniel Nyhan  1 , Erica Pullins  3 , Traci Housten  3 , Rachel L Damico  3 , Stephen C Mathai  3 , Paul M Hassoun  3 , Dan E Berkowitz  1 , Bryan G Maxwell  4 , Todd M Kolb  3
Affiliations
Review

Focused Review of Perioperative Care of Patients with Pulmonary Hypertension and Proposal of a Perioperative Pathway

Jochen Steppan et al. Cureus. .

Abstract

Morbidity and mortality risk increase considerably for patients with pulmonary hypertension (PH) undergoing non-cardiac surgery. Unfortunately, there are no comprehensive, evidence-based guidelines for perioperative evaluation and management of these patients. We present a brief review of the literature on perioperative outcomes for patients with PH and describe the implementation of a collaborative perioperative management program for these high-risk patients at a tertiary academic center.

Keywords: high risk surgery; perioperative management; pulmonary arterial hypertension; pulmonary hypertension; surgical home.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Program structure
The pulmonary hypertension Perioperative Director receives consults and referrals from the Johns Hopkins Hypertension Program, the Preoperative Evaluation Center, the anesthesia scheduler, or the surgeons and coordinates perioperative care with all the stakeholders. ECMO: extracorporeal membrane oxygenation; PH: pulmonary hypertension
See this image and copyright information in PMC

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