TY - JOUR
T1 - Anesthetic Management of the Adult Patient with Concomitant Cardiac and Pulmonary Disease
AU - Radosevich, Misty A.
AU - Brown, Daniel R.
N1 - Publisher Copyright:
© 2016 Elsevier Inc.
PY - 2016/12/1
Y1 - 2016/12/1
N2 - Several common diseases of the cardiac and pulmonary systems and the interactions of the two in disease and anesthetic management are discussed. Management of these disease processes in isolation is reviewed and how the management of one organ system impacts another is then explored. For example, in a patient with acute lung injury and right heart failure, lung-protective ventilation may directly conflict with strategies to minimize right heart afterload. Such challenging clinical scenarios require appreciation of each disease entity, their appropriate management, and the balance between competing priorities.
AB - Several common diseases of the cardiac and pulmonary systems and the interactions of the two in disease and anesthetic management are discussed. Management of these disease processes in isolation is reviewed and how the management of one organ system impacts another is then explored. For example, in a patient with acute lung injury and right heart failure, lung-protective ventilation may directly conflict with strategies to minimize right heart afterload. Such challenging clinical scenarios require appreciation of each disease entity, their appropriate management, and the balance between competing priorities.
KW - Anesthesia
KW - Asthma
KW - COPD
KW - Diastolic heart failure
KW - Obstructive lung disease
KW - Pulmonary hypertension
KW - Restrictive lung disease
KW - Systolic heart failure
UR - http://www.scopus.com/inward/record.url?scp=84994071485&partnerID=8YFLogxK
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U2 - 10.1016/j.anclin.2016.06.001
DO - 10.1016/j.anclin.2016.06.001
M3 - Review article
C2 - 27816124
AN - SCOPUS:84994071485
SN - 1932-2275
VL - 34
SP - 633
EP - 643
JO - Anesthesiology Clinics
JF - Anesthesiology Clinics
IS - 4
ER -