DOI: https://doi.org/10.14710/jai.v10i3.20724

Manajemen Hipertensi Pulmonal Perioperatif pada Bedah Jantung

*Siti Habibah  -  Bagian Anestesi dan Terapi Intensif/ Eka Hospital; Pekanbaru, Indonesia

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Abstract

Pembedahan pada pasien dengan hipertensi pulmonal merupakan pembedahan dengan kategori risiko tinggi dan merupakan tantangan besar untuk dokter anestesi maupun bedah. Hipertensi pulmonal merupakan salah satu penyebab utama peningkatan morbiditas dan mortalitas perioperatif. Komplikasi serius yang dapat terjadi diantaranya adalah  gagal jantung kanan, aritmia dan kematian dini pascaoperasi. Pasien dengan hipertensi pulmonal membutuhkan evaluasi dan manajemen penyakit yang komprehensif untuk mengurangi risiko secara optimal dan meningkatkan outcome. Pada tulisan ini dijelaskan mengenai patofisiologi, penilaian praoperasidan penanganan perioperatif pasien PH yang akan menjalani bedah jantung.

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Perioperative Management of Pulmonary Hypertension in Cardiac Surgery
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Keywords: bedah jantung; hipertensi pulmonal; kematian dini pascaoperasi; manajemen perioperatif; penilaian preoperatif

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Section: Tinjauan Pustaka
Language : ID
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  1. Thunberg CA, Gaitan BD, Grewal A, Ramakrisna H, Stansbury LG, Grigore MA. Pulmonary hypertension in patient undergoing cardiac surgery: pathophysiology, perioperative management, and outcomes. Journal of Cardiothoracic and Vascular Anesthesia.2013;27(3):551-72
  2. Thomas S. Anaesthesia for the patient with pulmonary hypertension. ATOTW 228. Anaesthesia tutorial of the week. 20/06/2011. www.totw.anaesthesiologist.org
  3. Graydon C, Hall RMO. Pulmonary vascular disease. editor: Mackay JH, Arrowsmith JE.In. Core topics in cardiac anesthesia.Cambrige Medicine;2012.p.282-87
  4. Pilkington SA,Taboada D, Martinez G. pulmonary hypertension and its management in patients undergoing non cardiac surgery. Anaesthesia. 2015;70:56-70
  5. Friesen RH, Williams GD. Anesthetic management of children with pulmonary arterial hypertension. Pediatric Anesthesia. 2008;18:208-16
  6. Cintyandy R. Perawatan pasca bedah jantung kongenital. Editor: Boom CE, In.:Anestesia jantung kongenital.Aksara Bermakna;2014.p.333-72
  7. Sablotzki A, Seyfarth HJ, Gille J,Gerlach S, Malcharek M, Czeslick E. Non cardiac general surgery in patients with pulmonary hypertension: particularities of perioperative management. Clin Res Pulmonol.2015;3(1):1-6
  8. Twite MD, Friesen RH. Anesthesia for pulmonary hypertension. In: andopolous DB, Stayer S, Mossad EB, Miller-Hance WC, Editors. Anesthesia for congenital heart disease.Wiley;2015.p.661-76
  9. Minai OA, Yared JP, Kaw R, Subramaniam K, Hill NS. Perioperative risk and management in patient with pulmonary hypertension. Chest.2013;144(1):329-40
  10. Sarkar MS, Desai PM. Pulmonary hypertension and cardiac anesthesia: anesthesiologist’s perspective. Annals of cardiac anaesthesia. 2018;21(2):116-22
  11. Wasnick JD, Hillel Z, Kramer DC, Littwin S, Nicoara A. Cardiac anesthesia & transesophageal echocardiography. Lange: McGraw-Hill;2011.p.160
  12. Seyfarth HJ, Gille J, Sablotzki A, Gerlach S, Malcharek M, Gosse A et al. Perioperative management of patients with severe pulmonary hypertension in major orthopaedic surgery:experience-based recommendations.GMS Interdiscip Plas Reconstr Surg DGPW (Online Journal) 2015 (published online 2015 Januari 14). Available from http:www.ncbi.nlm.nih.gov
  13. Bojar RM. Manual of perioperative care in adult cardiac surgery. 5th ed. Wiley-Blackwell;2011.p.452-7
  14. Gerhardt MA. Postoperative care of cardiac surgical patient. In: Hensley FA, Martin DE, Gravlee GP. editor, A practical approach to cardiac anesthesia.Wolters Kluwer.Lippincott Williams & Wilkins.;2008.p.261-85
  15. Gille J, Seyfarth HJ, Gerlach S, Malcharek M, Czeslick E, Sablotzki A. Perioperative management of patients with pulmonary hypertension. Anesthesiology Research and practice (Online Journal)2012(accepted 2012 Agustus 16). Available http://dx.doi.org/10.1155/2012/356982
  16. Tonelli AR, Minai OA. Saudi Guidelines on the diagnosis and treatment of pulmonary hypertension: perioperative management in patient with pulmonary hypertension. Ann Thorac Med.2014;9, suppl S1:98-107
  17. Kosarek L, Fox C, Baluch AR, Kaye AD. Pulmonary hypertension and current anesthetic implications. M.E.J. ANESTH.2009;20(3):337-46
  18. Ortega R, Connor C. Intraoperative management of patients with pulmonary hypertension. PH Journal.2013;12(1):18-23
  19. Sarkar S, Desai PM, Manjula. Pulmonary hypertension and cardiac anesthesia: anesthesiologist’s perspective.Annals of cardiac anaesthesia.2018;21(2):116-22
  20. Steppan J, Diaz-Rodriguez N, Barodka VM, Nyhan D, Pullins E, Housten T, et al. Focused review of perioperative care of patients with pulmonary hypertension and proposal of a perioperative pathway. Cureus. 2018;10(1):e2072

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