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Neuraxial anesthesia for patients with severe pulmonary arterial hypertension undergoing urgent open abdominal surgeries: two case reports
Background There is no consensus regarding the choice of anesthetic method for patients with pulmonary hypertension (PH). We report two cases in which neuraxial anesthesia was safely performed without general anesthesia during open abdominal surgery in patients with severe PH. Case presentation Case...
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| Published in: | JA clinical reports 2024-09, Vol.10 (1), p.52-6, Article 52 |
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| container_title | JA clinical reports |
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| creator | Yamada, Shuhei Takise, Yoshiaki Sekiya, Yuri Masuda, Yuya Misonoo, Yoshi Wakaizumi, Kenta Suhara, Tomohiro Morisaki, Hiroshi Kato, Jungo Yamada, Takashige |
| description | Background
There is no consensus regarding the choice of anesthetic method for patients with pulmonary hypertension (PH). We report two cases in which neuraxial anesthesia was safely performed without general anesthesia during open abdominal surgery in patients with severe PH.
Case presentation
Case 1: A 59-year-old woman had an atrial septal defect and a huge abdominal tumor with a mean pulmonary arterial pressure (PAP) of 39 mmHg and pulmonary vascular resistance (PVR) of 3.5 Wood units. Case 2: A 23-year-old woman who had hereditary pulmonary artery hypertension (mean PAP, 65 mmHg; PVR, 16.45 Wood units). Both patients underwent open abdominal surgery under neuraxial anesthesia without circulatory collapse with intraoperative administration of vasoconstrictors.
Conclusion
Although anesthetic care must be personalized depending on the pathology and severity of PH, neuraxial anesthesia may be an option for patients with severe PH undergoing abdominal surgery. |
| doi_str_mv | 10.1186/s40981-024-00737-w |
| format | article |
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There is no consensus regarding the choice of anesthetic method for patients with pulmonary hypertension (PH). We report two cases in which neuraxial anesthesia was safely performed without general anesthesia during open abdominal surgery in patients with severe PH.
Case presentation
Case 1: A 59-year-old woman had an atrial septal defect and a huge abdominal tumor with a mean pulmonary arterial pressure (PAP) of 39 mmHg and pulmonary vascular resistance (PVR) of 3.5 Wood units. Case 2: A 23-year-old woman who had hereditary pulmonary artery hypertension (mean PAP, 65 mmHg; PVR, 16.45 Wood units). Both patients underwent open abdominal surgery under neuraxial anesthesia without circulatory collapse with intraoperative administration of vasoconstrictors.
Conclusion
Although anesthetic care must be personalized depending on the pathology and severity of PH, neuraxial anesthesia may be an option for patients with severe PH undergoing abdominal surgery.</description><identifier>ISSN: 2363-9024</identifier><identifier>EISSN: 2363-9024</identifier><identifier>DOI: 10.1186/s40981-024-00737-w</identifier><identifier>PMID: 39222132</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Abdomen ; Abdominal surgery ; Adult congenital heart disease ; Anesthesiology ; Blood pressure ; Case Report ; Case reports ; Catheters ; Critical Care Medicine ; Dyspnea ; Emergency Medicine ; Epidural ; General anesthesia ; Heart failure ; Hemodynamics ; Intensive ; Local anesthesia ; Medicine ; Medicine & Public Health ; Neuraxial anesthesia ; Noncardiac surgery ; Ovaries ; Pain Medicine ; Patients ; Pulmonary arteries ; Pulmonary hypertension ; Veins & arteries</subject><ispartof>JA clinical reports, 2024-09, Vol.10 (1), p.52-6, Article 52</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2024 2024</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c489t-5da30f70e45571ed5acb135537c5d69dae9697b7776668583736c2f18ff622943</cites><orcidid>0000-0003-0918-4240</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11368881/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/3099947674?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,25753,27924,27925,37012,37013,44590,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39222132$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yamada, Shuhei</creatorcontrib><creatorcontrib>Takise, Yoshiaki</creatorcontrib><creatorcontrib>Sekiya, Yuri</creatorcontrib><creatorcontrib>Masuda, Yuya</creatorcontrib><creatorcontrib>Misonoo, Yoshi</creatorcontrib><creatorcontrib>Wakaizumi, Kenta</creatorcontrib><creatorcontrib>Suhara, Tomohiro</creatorcontrib><creatorcontrib>Morisaki, Hiroshi</creatorcontrib><creatorcontrib>Kato, Jungo</creatorcontrib><creatorcontrib>Yamada, Takashige</creatorcontrib><title>Neuraxial anesthesia for patients with severe pulmonary arterial hypertension undergoing urgent open abdominal surgeries: two case reports</title><title>JA clinical reports</title><addtitle>JA Clin Rep</addtitle><addtitle>JA Clin Rep</addtitle><description>Background
There is no consensus regarding the choice of anesthetic method for patients with pulmonary hypertension (PH). We report two cases in which neuraxial anesthesia was safely performed without general anesthesia during open abdominal surgery in patients with severe PH.
Case presentation
Case 1: A 59-year-old woman had an atrial septal defect and a huge abdominal tumor with a mean pulmonary arterial pressure (PAP) of 39 mmHg and pulmonary vascular resistance (PVR) of 3.5 Wood units. Case 2: A 23-year-old woman who had hereditary pulmonary artery hypertension (mean PAP, 65 mmHg; PVR, 16.45 Wood units). Both patients underwent open abdominal surgery under neuraxial anesthesia without circulatory collapse with intraoperative administration of vasoconstrictors.
Conclusion
Although anesthetic care must be personalized depending on the pathology and severity of PH, neuraxial anesthesia may be an option for patients with severe PH undergoing abdominal surgery.</description><subject>Abdomen</subject><subject>Abdominal surgery</subject><subject>Adult congenital heart disease</subject><subject>Anesthesiology</subject><subject>Blood pressure</subject><subject>Case Report</subject><subject>Case reports</subject><subject>Catheters</subject><subject>Critical Care Medicine</subject><subject>Dyspnea</subject><subject>Emergency Medicine</subject><subject>Epidural</subject><subject>General anesthesia</subject><subject>Heart failure</subject><subject>Hemodynamics</subject><subject>Intensive</subject><subject>Local anesthesia</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Neuraxial anesthesia</subject><subject>Noncardiac surgery</subject><subject>Ovaries</subject><subject>Pain Medicine</subject><subject>Patients</subject><subject>Pulmonary arteries</subject><subject>Pulmonary hypertension</subject><subject>Veins & arteries</subject><issn>2363-9024</issn><issn>2363-9024</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNp9Uk1v1TAQjBCIVqV_gAOyxIVLwB-xHXNBqKKlUgUXOFtOssnzU54d7KSP_gV-NfuaUloOnLzanR17PFMULxl9y1it3uWKmpqVlFclpVrocv-kOOZCidJg7-mD-qg4zXlLKWWKK1XXz4sjYTjnTPDj4tcXWJL76d1IXIA8byB7R_qYyORmD2HOZO_nDclwDQnItIy7GFy6IS7NkA5rm5sJsA7Zx0CW0EEaog8DWdKA6yROEIhrurjzAdH50E4e8nsy7yNpXQaSYIppzi-KZ70bM5zenSfF9_NP384-l1dfLy7PPl6VbVWbuZSdE7TXFCopNYNOurZhQkqhW9kp0zkwyuhGa61QrayFFqrlPav7XnFuKnFSXK68XXRbOyW_Qz02Om9vGzENFsX5dgQLlIHrjcTPk5UzxmnV1Mhueq77qpLI9WHlmpZmB12LipMbH5E-ngS_sUO8towJtKJmyPDmjiHFHws6YHc-tzCOaEdcshXUmFoJlIfQ1_9At3FJ-KsrylRa6YM8vqLaFHNO0N-_hlF7iI5do2MxGvY2OnaPS68e6rhf-RMUBIgVkHEU0MK_d_-H9jfATtJk</recordid><startdate>20240902</startdate><enddate>20240902</enddate><creator>Yamada, Shuhei</creator><creator>Takise, Yoshiaki</creator><creator>Sekiya, Yuri</creator><creator>Masuda, Yuya</creator><creator>Misonoo, Yoshi</creator><creator>Wakaizumi, Kenta</creator><creator>Suhara, Tomohiro</creator><creator>Morisaki, Hiroshi</creator><creator>Kato, Jungo</creator><creator>Yamada, Takashige</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><general>SpringerOpen</general><scope>C6C</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0003-0918-4240</orcidid></search><sort><creationdate>20240902</creationdate><title>Neuraxial anesthesia for patients with severe pulmonary arterial hypertension undergoing urgent open abdominal surgeries: two case reports</title><author>Yamada, Shuhei ; Takise, Yoshiaki ; Sekiya, Yuri ; Masuda, Yuya ; Misonoo, Yoshi ; Wakaizumi, Kenta ; Suhara, Tomohiro ; Morisaki, Hiroshi ; Kato, Jungo ; Yamada, Takashige</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-5da30f70e45571ed5acb135537c5d69dae9697b7776668583736c2f18ff622943</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdomen</topic><topic>Abdominal surgery</topic><topic>Adult congenital heart disease</topic><topic>Anesthesiology</topic><topic>Blood pressure</topic><topic>Case Report</topic><topic>Case reports</topic><topic>Catheters</topic><topic>Critical Care Medicine</topic><topic>Dyspnea</topic><topic>Emergency Medicine</topic><topic>Epidural</topic><topic>General anesthesia</topic><topic>Heart failure</topic><topic>Hemodynamics</topic><topic>Intensive</topic><topic>Local anesthesia</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Neuraxial anesthesia</topic><topic>Noncardiac surgery</topic><topic>Ovaries</topic><topic>Pain Medicine</topic><topic>Patients</topic><topic>Pulmonary arteries</topic><topic>Pulmonary hypertension</topic><topic>Veins & arteries</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yamada, Shuhei</creatorcontrib><creatorcontrib>Takise, Yoshiaki</creatorcontrib><creatorcontrib>Sekiya, Yuri</creatorcontrib><creatorcontrib>Masuda, Yuya</creatorcontrib><creatorcontrib>Misonoo, Yoshi</creatorcontrib><creatorcontrib>Wakaizumi, Kenta</creatorcontrib><creatorcontrib>Suhara, Tomohiro</creatorcontrib><creatorcontrib>Morisaki, Hiroshi</creatorcontrib><creatorcontrib>Kato, Jungo</creatorcontrib><creatorcontrib>Yamada, Takashige</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>JA clinical reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yamada, Shuhei</au><au>Takise, Yoshiaki</au><au>Sekiya, Yuri</au><au>Masuda, Yuya</au><au>Misonoo, Yoshi</au><au>Wakaizumi, Kenta</au><au>Suhara, Tomohiro</au><au>Morisaki, Hiroshi</au><au>Kato, Jungo</au><au>Yamada, Takashige</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neuraxial anesthesia for patients with severe pulmonary arterial hypertension undergoing urgent open abdominal surgeries: two case reports</atitle><jtitle>JA clinical reports</jtitle><stitle>JA Clin Rep</stitle><addtitle>JA Clin Rep</addtitle><date>2024-09-02</date><risdate>2024</risdate><volume>10</volume><issue>1</issue><spage>52</spage><epage>6</epage><pages>52-6</pages><artnum>52</artnum><issn>2363-9024</issn><eissn>2363-9024</eissn><abstract>Background
There is no consensus regarding the choice of anesthetic method for patients with pulmonary hypertension (PH). We report two cases in which neuraxial anesthesia was safely performed without general anesthesia during open abdominal surgery in patients with severe PH.
Case presentation
Case 1: A 59-year-old woman had an atrial septal defect and a huge abdominal tumor with a mean pulmonary arterial pressure (PAP) of 39 mmHg and pulmonary vascular resistance (PVR) of 3.5 Wood units. Case 2: A 23-year-old woman who had hereditary pulmonary artery hypertension (mean PAP, 65 mmHg; PVR, 16.45 Wood units). Both patients underwent open abdominal surgery under neuraxial anesthesia without circulatory collapse with intraoperative administration of vasoconstrictors.
Conclusion
Although anesthetic care must be personalized depending on the pathology and severity of PH, neuraxial anesthesia may be an option for patients with severe PH undergoing abdominal surgery.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>39222132</pmid><doi>10.1186/s40981-024-00737-w</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-0918-4240</orcidid><oa>free_for_read</oa></addata></record> |
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| source | PubMed (Medline); Publicly Available Content Database; Springer Nature - SpringerLink Journals - Fully Open Access |
| subjects | Abdomen Abdominal surgery Adult congenital heart disease Anesthesiology Blood pressure Case Report Case reports Catheters Critical Care Medicine Dyspnea Emergency Medicine Epidural General anesthesia Heart failure Hemodynamics Intensive Local anesthesia Medicine Medicine & Public Health Neuraxial anesthesia Noncardiac surgery Ovaries Pain Medicine Patients Pulmonary arteries Pulmonary hypertension Veins & arteries |
| title | Neuraxial anesthesia for patients with severe pulmonary arterial hypertension undergoing urgent open abdominal surgeries: two case reports |
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