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Published: 2022-11-29
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DOI: https://doi.org/10.52852/tcncyh.v159i11.1247
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Vol. 159 No. 11 (2022)
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Võ, L. X., & Giang, T. N. (2022). 4. General anesthesia of a patient with severe pulmonary hypertension for thyroidectomy: A case report. Journal of Medical Research, 159(11), 27-33. https://doi.org/10.52852/tcncyh.v159i11.1247

4. General anesthesia of a patient with severe pulmonary hypertension for thyroidectomy: A case report

Luu Xuan Vo1, Ta Ngan Giang
1 Bệnh viện Đại học Y Hà Nội

Main Article Content

Abstract

Anesthesia for patients with severe pulmonary hypertension is a challenge because severe pulmonary hypertension increases the perioperative morbidity and mortality even in non-cardiac surgery. The anesthesiologist needs to conduct a thorough assessment of the patient's condition and discuss it with the surgeon and the cardiologist. Before surgery, the patient still needs to be on medication. After the patient's condition is determined to be stable for surgery, it is important during anesthesia to limit the factors that aggravate pulmonary hypertension such as hypoxemia, hypercapnia, acidosis, and hypothermia, and also avoid factors that cause rapid pulse, and restrictive fluid infusion. After surgery, the patient should be carefully monitored and provided adequate analgesia. We report a case of severe pulmonary arterial hypertension who underwent thyroidectomy under general anesthesia and was successfully discharged.

Article Details

Keywords

severe pulmonary hypertension, general anesthesia, thyroidectomy

References

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