[Peculiarities of anesthesia for patients with valvular heart disease during non-cardiac surgery].
A careful preview history of disease and thorough physical examination of patients having valvular heart disease using modern instrumental investigation methods are important in assessing preoperative risk. Important factor in the preoperative decision process and the risk assessment is the nature of surgical procedure also. Prevention of cardiovascular system complications is another factor having impact on operations results for patients with heart valvular pathology during non-cardiac surgery. Efforts should be joint to avoid these complications, involving both surgeon and cardiologist, anesthesiologist and general practitioner. Survey of available literature provides variable pathophysiological features of cardiac lesions, which are of paramount in importance while choosing methods of anesthesiological management during non-cardiac operations and use of anesthetics and vasoactive drugs as well for patients with aortic and mitral valve diseases.
Sirvinskas
Edmundas
E
Institute for Biomedical Research, Kaunas University of Medicine, 3007 Kaunas, Lithuania. sirdiskr@kmu.lt
D000368:Aged; D000758:Anesthesia / Q000379:methods*; D000765:Anesthesia, Conduction; D000767:Anesthesia, Epidural; D000777:Anesthetics / Q000008:administration & dosage; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000503:physiopathology; D001024:Aortic Valve Stenosis / Q000150:complications / Q000503:physiopathology; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications / Q000503:physiopathology; D004630:Emergencies; D006339:Heart Rate; D006349:Heart Valve Diseases / Q000150:complications* / Q000503:physiopathology; D006439:Hemodynamics; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000503:physiopathology; D008946:Mitral Valve Stenosis / Q000150:complications / Q000503:physiopathology; D018570:Risk Assessment; D012307:Risk Factors; D013514:Surgical Procedures, Operative; D014665:Vasodilator Agents / Q000008:administration & dosage / Q000627:therapeutic use
D000777:Anesthetics; D014665:Vasodilator Agents
Anestezijos savitumai ligoniams, sergantiems sirdies voztuvu ligomis, ne sirdies operaciju metu.