Dynamic right ventricular outflow obstruction: A rare cause of hypotension during anestesia induction

Antoniucci, Maria Enrica; Colizzi, Christian; Arlotta, Gabriella; Calabrese, Maria; Corrado, Michele; Guarneri, Sergio; Martinelli, L; Scapigliati, Andrea; Zamparelli, Roberto; Cavaliere, Franco

doi:10.1016/j.ijscr.2017.08.069

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…Eleven cases of obstruction were worsened by the administration of inotropes or vasoactive agents during surgery, 122 and one occurred during the induction of anesthesia. 223 Most of the other reported cases were observed after lung transplantation (n = 9). 55 , 61 , 65 , 67 , 70 , 108 , 142 , 231 Two cases occurred as a result of cardiac surgery complications, 134 , 242 and one case resulted from a postoperative mediastinal hematoma.…”

Section: Resultsmentioning

confidence: 97%

“…Even though the numbers and proportions should be interpreted with caution, our findings nonetheless reveal that RVOTO can be present in a large variety of congenital heart diseases in an adult population, beyond the most obvious pathologies. With one exception, in which RVOTO happened during induction of anesthesia, 223 most reported cases of iatrogenic RVOTO occurred after either cardiac or thoracic surgery.…”

Section: Discussionmentioning

confidence: 99%

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Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis

Calderone

Rousseau-Saine

et al. 2021

CJC Open

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Section: Resultsmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis

Calderone

Rousseau-Saine

et al. 2021

CJC Open

View full text Add to dashboard Cite

show abstract

Dopamine/ephedrine/propofol

2017

Reactions Weekly

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Anesthetic management of lung transplantation: impact of presenting disease

Martin

Fritz

Wilkey

2020

Current Opinion in Anaesthesiology

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Purpose of review Recent literature has described the emerging role of anesthesiologists as key members of the lung transplantation team and the impact of anesthetic management on outcomes. This review examines the impact of presenting cause of end-stage lung disease (ESLD) on anesthetic management. Recent findings The four primary causes of ESLD are suppurative, obstructive, or restrictive processes, and pulmonary hypertension. Our recent review of perioperative literature revealed new data regarding preoperative risk stratification, intraoperative management, and postoperative use of extracorporeal membrane oxygenation (ECMO) support. Major studies specifically about anesthetic management are lacking; however, the principles studied are readily applicable to the design of a perioperative care plan. The most compelling data have resulted in a revolutionary change in terms of intraoperative support and postoperative planning for pulmonary hypertension patients. Historically treated with cardiopulmonary bypass, significant data have been reported describing the successful use of ECMO both as an intraoperative support with superior outcomes, as well as postoperative support for improved stability during biventricular remodeling post graft implantation. Summary The application of these updated findings should assist anesthesiologists as they develop internal protocols and external guidelines to integrate within multidisciplinary teams caring for the lung transplant patient.

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Dynamic right ventricular outflow obstruction: A rare cause of hypotension during anestesia induction

Cited by 3 publications

References 8 publications

Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis

Right Ventricular Outflow Tract Obstruction in Adults: A Systematic Review and Meta-analysis

Dopamine/ephedrine/propofol

Anesthetic management of lung transplantation: impact of presenting disease

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