Pediatric Perioperative Pulmonary Arterial Hypertension: A Case-Based Primer

The perioperative period is an extremely tenuous time for the pediatric patient with pulmonary arterial hypertension. This article will discuss a multidisciplinary approach to preoperative planning, the importance of early identification of pulmonary hypertensive crises, and practical strategies for postoperative management for this unique group of children.

• Publication year

  2017

• Venue

  Children

• Publication date

  2017-10-01

• Fields of study

  Medicine

• Identifiers
  DOI 10.3390/children4100092PMID 29064445PMCID 5664022
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Hyperoxia Reduces Oxygen Consumption in Children with Pulmonary Hypertension

  2017cited by this paper
• Pulmonary Hypertension

  2016cited by this paper
• Diagnostics, monitoring and outpatient care in children with suspected pulmonary hypertension/paediatric pulmonary hypertensive vascular disease. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network

  2016cited by this paper
• Hemodynamic Effects of Phenylephrine, Vasopressin, and Epinephrine in Children With Pulmonary Hypertension: A Pilot Study*

  2016cited by this paper
• Pulmonary hypertension in the intensive care unit. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK

  2016influential reference
• Executive summary. Expert consensus statement on the diagnosis and treatment of paediatric pulmonary hypertension. The European Paediatric Pulmonary Vascular Disease Network, endorsed by ISHLT and DGPK

  2016cited by this paper
• Hypoxic Pulmonary Vasoconstriction: Physiology and Anesthetic Implications

  2015cited by this paper
• Pulmonary hypertension and its management in patients undergoing non‐cardiac surgery

  2015cited by this paper
• Pediatric Pulmonary Hypertension: Guidelines From the American Heart Association and American Thoracic Society

  2015cited by this paper
• Inhaled therapy for the management of perioperative pulmonary hypertension

  2015cited by this paper
• Anesthetic management and outcomes for patients with pulmonary hypertension and intracardiac shunts and Eisenmenger syndrome: a review of institutional experience.

  2014cited by this paper
• Cardiorespiratory Interactions: The Relationship Between Mechanical Ventilation and Hemodynamics

  2014cited by this paper
• Anesthetic Drugs in Congenital Heart Disease

  2014cited by this paper
• Impact of differential right‐to‐left shunting on systemic perfusion in pulmonary arterial hypertension

  2013cited by this paper
• Pulmonary hypertension: diagnosis and management

  2013cited by this paper
• Parenteral and inhaled prostanoid therapy in the treatment of pulmonary arterial hypertension.

  2013cited by this paper
• [Pulmonary hypertension].

  2012cited by this paper
• [Effect of nebulised iloprost combined with inhaled nitric oxide and oral sildenafil on lung transplant patients. Therapeutic efficacy in pulmonary hypertension during surgery].

  2012cited by this paper
• Arrhythmias in pulmonary arterial hypertension.

  2012cited by this paper
• Inhaled NO and Sildenafil Combination in Cardiac Surgery Patients With Out-of-Proportion Pulmonary Hypertension: Acute Effects on Postoperative Gas Exchange and Hemodynamics

  2012cited by this paper
• Sildenafil to Facilitate Weaning From Inhaled Nitric Oxide and Mechanical Ventilation in a Patient With Severe Secondary Pulmonary Hypertension and a Patent Foramen Ovale

  2011cited by this paper
• Inhaled nitric oxide and related therapies.

  2010cited by this paper
• Effects of hypercapnia with and without acidosis on hypoxic pulmonary vasoconstriction.

  2009cited by this paper
• Pulmonary hypertension: diagnosis and management.

  2009cited by this paper
• Interatrial shunt for chronic pulmonary hypertension: differential impact of low-flow vs. high-flow shunting.

  2009cited by this paper
• Anesthetic management of children with pulmonary arterial hypertension

  2008cited by this paper
• Nebulized Milrinone Use in a Pulmonary Hypertensive Crisis

  2007cited by this paper
• Combination Therapy with Oral Sildenafil and Inhaled Iloprost for Severe Pulmonary Hypertension

  2002cited by this paper
• The semi-elective use of the pulmonary artery flotation catheter in children with progressive pulmonary hypertension or left ventricular dysfunction

  2001cited by this paper
• Effect of bolus milrinone on hemodynamic variables and pulmonary vascular resistance in patients with severe left ventricular dysfunction: a rapid test for reversibility of pulmonary hypertension.

  1996cited by this paper
• Pulmonary vascular resistance in infants after cardiac surgery: role of carbon dioxide and hydrogen ion.

  1995cited by this paper
• The type III phosphodiesterase inhibitor milrinone and type V PDE inhibitor dipyridamole individually and synergistically reduce elevated pulmonary vascular resistance.

  1994cited by this paper

• Acute Negative Pressure Pulmonary Edema (NPPE) in a 14‐Year‐Old Boy Following Laparoscopic Appendectomy—A Clinical Challenge and a Proposal for Mechanical Ventilation

  2026cites this paper
• Papel do anestesiologista na prevenção do retorno à circulação fetal em anestesias pediátricas: Revisão narrativa da literatura

  2025cites this paper
• Paediatric pulmonary hypertension due to congenital heart disease in non-cardiac surgery: Anaesthetic implications

  2024cites this paper
• Postoperative Cardiac Care

  2021cites this paper
• Update on Perioperative Pediatric Pulmonary Hypertension Management.

  2021cites this paper
• Effects of inhaled nitric oxide on haemodynamics and gas exchange in children after having undergone cardiac surgery utilising cardiopulmonary bypass

  2020cites this paper
• Pediatric Living Donor Liver Transplantation for Congenital Absence of the Portal Vein With Pulmonary Hypertension: A Case Report.

  2020cites this paper
• Postoperative Inhaled Nitric Oxide Does Not Decrease Length of Stay in Pediatric Cardiac Surgery Admissions

  2019cites this paper