scholarly journals Anaesthesia management in a patient of interstitial lung disease with pulmonary hypertension for emergency laparotomy

2021 ◽  
Vol 9 (10) ◽  
pp. 3216
Author(s):  
Hardik A. Parekh ◽  
Prajakta D. Latkar ◽  
Ameya G. Nalavade ◽  
Hemant H. Mehta
Keyword(s):  
Mechanical Ventilation ◽  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Exploratory Laparotomy ◽  
Pulmonary Complications ◽  
Emergency Laparotomy ◽  
Cecal Volvulus ◽  
Severe Pulmonary Hypertension ◽  
Spinal Epidural

We report the anesthaetic management of a patient with known case of interstitial lung disease (ILD) with profound fibrotic changes and bullae with severe pulmonary hypertension (PH) posted for exploratory laparotomy for cecal volvulus. Emergency exploratory laparotomy was done under combined spinal-epidural anaesthesia to avoid intra-operative and post-operative pulmonary complications associated with general anaesthesia and mechanical ventilation.

scholarly journals A stepwise composite echocardiographic score predicts severe pulmonary hypertension in patients with interstitial lung disease

2018 ◽  
Vol 4 (2) ◽  
pp. 00124-2017 ◽  
Author(s):  
Simon Bax ◽  
Charlene Bredy ◽  
Aleksander Kempny ◽  
Konstantinos Dimopoulos ◽  
Anand Devaraj ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Predictive Value ◽  
Validation Cohort ◽  
Systolic Pressure ◽  
Right Atrial ◽  
Receiver Operating Curve ◽  
Severe Pulmonary Hypertension ◽  
Right Heart Catheterisation

European Respiratory Society (ERS) guidelines recommend the assessment of patients with interstitial lung disease (ILD) and severe pulmonary hypertension (PH), as defined by a mean pulmonary artery pressure (mPAP) ≥35 mmHg at right heart catheterisation (RHC). We developed and validated a stepwise echocardiographic score to detect severe PH using the tricuspid regurgitant velocity and right atrial pressure (right ventricular systolic pressure (RVSP)) and additional echocardiographic signs.Consecutive ILD patients with suspected PH underwent RHC between 2005 and 2015. Receiver operating curve analysis tested the ability of components of the score to predict mPAP ≥35 mmHg, and a score devised using a stepwise approach. The score was tested in a contemporaneous validation cohort. The score used “additional PH signs” where RVSP was unavailable, using a bootstrapping technique.Within the derivation cohort (n=210), a score ≥7 predicted severe PH with 89% sensitivity, 71% specificity, positive predictive value 68% and negative predictive value 90%, with similar performance in the validation cohort (n=61) (area under the curve (AUC) 84.8% versus 83.1%, p=0.8). Although RVSP could be estimated in 92% of studies, reducing this to 60% maintained a fair accuracy (AUC 74.4%).This simple stepwise echocardiographic PH score can predict severe PH in patients with ILD.

Risk assessment in severe pulmonary hypertension due to interstitial lung disease

2020 ◽  
Author(s):  
Athiththan Yogeswaran ◽  
Marlene Faber ◽  
Khodr Tello ◽  
Natascha Sommer ◽  
Hossein Ardeschir Ghofrani ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Severe Pulmonary Hypertension

Risk assessment in severe pulmonary hypertension due to interstitial lung disease

2020 ◽  
Vol 39 (10) ◽  
pp. 1118-1125
Author(s):  
Athiththan Yogeswaran ◽  
Khodr Tello ◽  
Marlene Faber ◽  
Natascha Sommer ◽  
Stefan Kuhnert ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Severe Pulmonary Hypertension

Impact of post-capillary pulmonary hypertension on mortality in interstitial lung disease

2021 ◽  
Author(s):  
Ryo Teramachi ◽  
Hiroyuki Taniguchi ◽  
Yasuhiro Kondoh ◽  
Tomoki Kimura ◽  
Kensuke Kataoka ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease

Sleep architecture in patients with interstitial lung disease with and without pulmonary hypertension

2022 ◽  
Author(s):  
Joseph L. Simonson ◽  
Dhwani Pandya ◽  
Sarah Khan ◽  
Sameer Verma ◽  
Harly E. Greenberg ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Interstitial Lung Disease ◽  
Lung Disease ◽  
Sleep Architecture
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