Anesthesia for Patients with Concomitant Hepatic and Pulmonary Dysfunction
| Autor: | John F. Renz, Geraldine C. Diaz, Michael O'Connor |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Lung Diseases
medicine.medical_specialty Cirrhosis Cystic Fibrosis Heart Diseases Hypertension Pulmonary 030204 cardiovascular system & hematology Pulmonary function testing Hypoxemia 03 medical and health sciences Liver disease 0302 clinical medicine alpha 1-Antitrypsin Deficiency Internal medicine Humans Medicine Anesthesia Hypoxia Hepatopulmonary syndrome Portopulmonary hypertension business.industry General Medicine Perioperative medicine.disease Anesthesiology and Pain Medicine Concomitant Cardiology 030211 gastroenterology & hepatology medicine.symptom business Hepatopulmonary Syndrome |
| Zdroj: | Anesthesiology Clinics. 34:797-808 |
| ISSN: | 1932-2275 |
| Popis: | Hepatic function and pulmonary function are interrelated with failure of one organ system affecting the other. With improved therapies, patients with concomitant hepatic and pulmonary failure increasingly enjoy a good quality of life and life expectancy. Therefore, the prevalence of such patients is increasing with more presenting for both emergent and elective surgical procedures. Hypoxemia requires a thorough evaluation in patients with end-stage liver disease. The most common etiologies respond to appropriate therapy. Portopulmonary hypertension and hepatopulmonary syndrome are associated with increased perioperative morbidity and mortality. It is incumbent on the anesthesiologist to understand the physiology of liver failure and its early effect on pulmonary function to ensure a successful outcome. |
| Databáze: | OpenAIRE |
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