title: [Rationale for anesthesia in non-cardiac surgery on patients with heart transplant].
abstract: The introduction of cyclosporine in the prevention of rejection, together with the improvement of surgical and anaesthetic techniques, produced a tangible increase in long term survival time and the life quality of heart-transplanted patients, so that, they have to undergo non-cardiac surgical operation, more and more frequently. The aim of this report is to analyse the essential physio-pathological, clinical, haemodynamic and pharmacological knowledge in order to perform a safe anaesthesia on the above mentioned patients. The Authors are basing this report on experience obtained in deep study of their own cases. In fact they have anaesthetized 190 patients during heart transplantation; later on, 27 of these patients have undergone subsequent major or minor non-cardiac surgical operations.
authors.affiliation: II Servizio di Anestesia e Rianimazione, Ospedali Riuniti, Bergamo.
authors.forename: M
authors.initials: M
authors.lastname: Cossolini
authors.forename: V
authors.initials: V
authors.lastname: Sonzogni
authors.forename: S
authors.initials: S
authors.lastname: Moneta
authors.forename: B
authors.initials: B
authors.lastname: Carrara
authors.forename: M
authors.initials: M
authors.lastname: Candiano
authors.forename: F
authors.initials: F
authors.lastname: Pezzati
authors.forename: F
authors.initials: F
authors.lastname: Fruga
authors.forename: C
authors.initials: C
authors.lastname: Pirola
mesh_terms: D000293:Adolescent; D000758:Anesthesia / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D016027:Heart Transplantation; D006801:Humans; D007223:Infant; D013514:Surgical Procedures, Operative
vernacular_title: Il rationale dell'anestesia per interventi non cardiochirurgici nei pazienti cardiotrapiantati.