Does anyone have a protocol for the perioperative management of pulmonary hypertension to share with me?
Preoperative evaluation should focus on identifying patients at risk for OSA and improving associated comorbid conditions in those with OSA. Echocardiography may be indicated if heart failure or pulmonary hypertension is suspected.
Patients with extreme obesity are at risk for heart failure and pulmonary hypertension. Obesity-hypoventilation syndrome (OHS), also known as pickwickian syndrome, is distinct from OSA.
HIV can affect all organs and cause multiple complications. Myocarditis, dilated cardiomyopathy, valvular disease, pulmonary hypertension, pericardial effusions, and tamponade are possible.
Nitric oxide (NO) may be beneficial in the treatment of high-altitude pulmonary edema95 and neonatal pulmonary hypertension resulting from a variety of congenital heart diseases, hypoplastic lung, and meconium aspiration. NO is also beneficial in the treatment of adult pulmonary hypertension as long as the resistance is not “fixed,” such as in acute severe mitral regurgitation, congestive heart failure, and heart or lung transplantation. However, inhalation of NO during acute bronchospasm may paradoxically worsen the hypoxemia.
