[Anesthesiologic problems of heart transplantation].
Although the risk of anaesthesia in patients undergoing cardiac transplantation is high, anaesthesia-related morbidity and mortality is extremely low, if management is based on adequate organ-preserving therapy, adaptation of anaesthetic techniques to the deranged myocardial function that characterizes end-stage cardiac disease, prevention of aspiration, reduction of the immunosuppression-induced risk of infection and consideration of the consequences of heart denervation. Problems associated with anaesthesia for surgery on post-cardiac transplant patients include adverse effects of immunsuppressive agents, and the particularities of the denervated heart with regard to haemodynamics and drug response.
Schmid
E R
ER
Institut für Anästhesiologie, Universitätsspital, Zürich.
Tornić
M
M
D000768:Anesthesia, General / Q000379:methods*; D000777:Anesthetics; D016027:Heart Transplantation / Q000379:methods*; D006439:Hemodynamics / Q000187:drug effects; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control; D012307:Risk Factors
D000777:Anesthetics
Anästhesiologische Probleme bei Herztransplantation.