Manajemen Hipertensi Pulmonal Perioperatif pada Bedah Jantung

*Siti Habibah -  Bagian Anestesi dan Terapi Intensif/ Eka Hospital Pekanbaru, Indonesia
Published: 1 Nov 2018.
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Perioperative Management of Pulmonary Hypertension in Cardiac Surgery
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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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Keywords
bedah jantung; hipertensi pulmonal; kematian dini pascaoperasi; manajemen perioperatif; penilaian preoperatif

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