scholarly journals Spectrum of Current Management of Pediatric Pulmonary Hypertensive Crisis

2019 ◽  
Vol 1 (8) ◽  
pp. e0037
Author(s):  
Meghan L. Bernier ◽  
Lewis H. Romer ◽  
Melania M. Bembea
Keyword(s):  
Hypertensive Crisis ◽  
Current Management ◽  
Pulmonary Hypertensive Crisis

scholarly journals Unexpected pulmonary hypertensive crisis after surgery for ocular malignant melanoma

Life Sciences ◽  
2014 ◽  
Vol 118 (2) ◽  
pp. 420-423 ◽  
Author(s):  
Kaori Sato ◽  
Tsutomu Saji ◽  
Taku Kaneko ◽  
Kei Takahashi ◽  
Kaoru Sugi
Keyword(s):  
Malignant Melanoma ◽  
Hypertensive Crisis ◽  
Pulmonary Hypertensive Crisis

scholarly journals Perioperative Pharmacological Management of Pulmonary Hypertensive Crisis during Congenital Heart Surgery

2014 ◽  
Vol 4 (1) ◽  
pp. 10-24 ◽  
Author(s):  
Nathan Brunner ◽  
Vinicio A. de Jesus Perez ◽  
Alice Richter ◽  
François Haddad ◽  
André Denault ◽  
...  
Keyword(s):  
Congenital Heart ◽  
Heart Surgery ◽  
Hypertensive Crisis ◽  
Congenital Heart Surgery ◽  
Pharmacological Management ◽  
Pulmonary Hypertensive Crisis

Dead space ratio as a tool in nitric oxide weaning: a study in pulmonary hypertensive disease

2021 ◽  
pp. 1-5
Author(s):  
Alvaro D. Garcia ◽  
Wei Liu ◽  
William J. Hanna ◽  
Hemant Agarwal
Keyword(s):  
Nitric Oxide ◽  
Pulmonary Hypertension ◽  
Dead Space ◽  
Hypertensive Crisis ◽  
Inhaled Nitric Oxide ◽  
Successful Weaning ◽  
Cardiac Intensive Care ◽  
Pulmonary Hypertensive Crisis ◽  
Nitric Oxide Therapy ◽  
Space Ratio

Abstract Objectives: To describe the association between successful weaning of inhaled nitric oxide and trends in dead space ratio during such weans in patients empirically initiated on nitric oxide therapy out of concern of pulmonary hypertensive crisis. Patients: Children in a cardiac intensive care unit initiated on inhaled nitric oxide out of clinical concern for pulmonary hypertensive crisis retrospectively over 2 years. Measurements and Main Results: Twenty-seven patients were included, and nitric oxide was successfully discontinued in 23/27. These patients exhibited decreases in dead space ratio (0.18 versus 0.11, p = 0.047) during nitric oxide weaning, and with no changes in dead space ratio between pre- and post-nitric oxide initiation (p = 0.88) and discontinuation (p = 0.63) phases. These successful patients had a median age of 10 months [4.0, 57.0] and had a pre-existent diagnosis of CHD in 6/23 and pulmonary hypertension in 2/23. Those who failed nitric oxide discontinuation trended with a higher dead space ratio at presentation (0.24 versus 0.10), were more likely to carry a prior diagnosis of pulmonary hypertension (50% versus 8.7%), and had longer mechanical ventilation days (5 versus 12). Conclusions: Patients empirically placed on nitric oxide out of concern of pulmonary hypertensive crisis and successfully weaned off showed unchanged or decreased dead space ratio throughout the initiation to discontinuation phases of nitric oxide therapy. Trends in dead space ratio may aid in determining true need for nitric oxide and facilitate effective weaning. Further studies are needed to directly compare trends between success and failure groups.

Preventing pulmonary hypertensive crisis in the pediatric patient after cardiac surgery

1995 ◽  
Vol 4 (1) ◽  
pp. 49-53 ◽  
Author(s):  
L Medicus ◽  
L Thompson
Keyword(s):  
Cardiac Surgery ◽  
Heart Defects ◽  
Hypertensive Crisis ◽  
Supplemental Oxygen ◽  
Cardiac Surgery Patient ◽  
Positive End Expiratory Pressure ◽  
Care Nurse ◽  
Surgery Patient ◽  
Pulmonary Hypertensive Crisis ◽  
Infants And Young Children

Pulmonary hypertension is seen in infants and young children who have congenital heart defects resulting in excess pulmonary blood flow. The critical care nurse can implement several interventions in the immediate postoperative period to help prevent the potentially lethal complication of pulmonary hypertensive crisis in a cardiac surgery patient. Respiratory interventions include hyperventilation, maintaining an alkalotic pH, supplemental oxygen, and low positive end-expiratory pressure. In addition, the nurse must consider the serum potassium, hematocrit, and patient temperature, and administer appropriate medications.

Pulmonary Hypertensive Crisis During General Anesthesia in a 3-Year-Old Autistic Boy With Undiagnosed Scurvy, Undergoing Cardiac Catheterization

2019 ◽  
Vol 13 (10) ◽  
pp. 379-381
Author(s):  
Shogo Ichiyanagi ◽  
Itsuki Takeshita ◽  
Ali I. Kandil ◽  
Mitsunori Miyazu ◽  
Taiki Kojima
Keyword(s):  
General Anesthesia ◽  
Cardiac Catheterization ◽  
Hypertensive Crisis ◽  
Pulmonary Hypertensive Crisis

Use of Nitric Oxide Inhalation for the Treatment of Pulmonary Hypertensive Crisis Bridging to Living-donor Lobar Lung Transplantation

2007 ◽  
Vol 13 (6) ◽  
pp. S51
Author(s):  
Soichiro Fuke ◽  
Kengo Fukushima Kusano ◽  
Kenki Enko ◽  
Masato Murakami ◽  
Takefumi Oka ◽  
...  
Keyword(s):  
Nitric Oxide ◽  
Lung Transplantation ◽  
Living Donor ◽  
Hypertensive Crisis ◽  
Nitric Oxide Inhalation ◽  
Pulmonary Hypertensive Crisis
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