Perioperative optimization and right heart catheterization: what technique in which patient?

Anesthesia for a Patient with Severe Pulmonary Hypertension Undergoing Laparoscopic Cholecystectomy: A Case Report

Pulmonary hypertension (PH) is a haemodynamic and pathophysiological condition defined as an increase in mean pulmonary arterial pressure (PAP) ≥ 25 mmHg at rest as assessed by right heart catheterization. We report a patient with severe pulmonary hypertension after repair of ventricular septal defect. The patient underwent laparoscopic cholecystectomy. The purpose of this case was to discuss t...

Does right heart catheterization prevent perioperative complications?

High-risk Coronary Artery Bypass Grafting and Mitral Valve Replacement in a HIV Positive Patient

Certain subsets of high-risk mitral valve patients are not suitable candidates for transcatheter therapies. The objective of this report is to present a young patient with combined mitral valve and coronary artery disease to illustrate these challenges.In this report, we present a 47-year-old man with longstanding HIV infection who was referred with severe mitral regurgitation (MR) and profound...

Improved accuracy and precision of thermodilution cardiac output measurement using a dual thermistor catheter system.

OBJECTIVES To assess whether thermodilution cardiac output determination based on measurement of injectate temperature in vivo leads to more accurate and precise estimates and to study the influence of chilled injectate on test performance. BACKGROUND Cardiac output measurement via right heart catheterization is used extensively for hemodynamic evaluation in a variety of diagnostic, periopera...

Management of pulmonary arterial hypertension.

Pulmonary hypertension (PH) is common and may result from a number of disorders, including left heart disease, lung disease, and chronic thromboembolic disease. Pulmonary arterial hypertension (PAH) is an uncommon disease characterized by progressive remodeling of the distal pulmonary arteries, resulting in elevated pulmonary vascular resistance and, eventually, in right ventricular failure. Ov...