title: Evaluation of the influence of pulmonary hypertension in ultra-fast-track anesthesia technique in adult patients undergoing cardiac surgery.
abstract: OBJECTIVE
  To evaluate the influence of pulmonary hypertension in the ultra-fast-track anesthesia technique in adult cardiac surgery.
  
  
  METHODS
  A retrospective study. They were included 40 patients divided into two groups: GI (without pulmonary hypertension) and GII (with pulmonary hypertension). Based on data obtained by transthoracic echocardiography. We considered as the absence of pulmonary hypertension: a pulmonary artery systolic pressure (sPAP) <36 mmHg, with tricuspid regurgitation velocity <2.8 m/s and no additional echocardiographic signs of PH, and PH as presence: a sPAP >40 mmHg associated with additional echocardiographic signs of PH. It was established as influence of pulmonary hypertension: the impossibility of extubation in the operating room, the increase in the time interval for extubation and reintubation the first 24 hours postoperatively. Univariate and multivariate analyzes were performed when necessary. Considered significant a P value <0.05.
  
  
  RESULTS
  The GI was composed of 21 patients and GII for 19. All patients (100%) were extubated in the operating room in a medium time interval of 17.58 ± 8.06 min with a median of 18 min in GII and 17 min in GI. PH did not increase the time interval for extubation (P=0.397). It required reintubation of 2 patients in GII (5% of the total), without statistically significant as compared to GI (P=0.488).
  
  
  CONCLUSIONS
  In this study, pulmonary hypertension did not influence on ultra-fast-track anesthesia in adult cardiac surgery.
authors.affiliation: Hospital Regional Alto Vale, Rio do Sul, SC, Brazil.
authors.forename: Paulo Sérgio da
authors.initials: PS
authors.lastname: Silva
authors.affiliation: Hospital Regional Terezinha Gaio Basso, São Miguel do Oeste, SC, Brazil.
authors.forename: Márcio Portugal Trindade
authors.initials: MP
authors.lastname: Cartacho
authors.affiliation: Hospital dos Cajueiros de Luanda, Luanda, Angola.
authors.forename: Casimiro Cardoso de
authors.initials: CC
authors.lastname: Castro
authors.affiliation: Universidade Federal de Juiz de Fora, Juiz de Fora, MG, Brazil.
authors.forename: Marcello Fonseca
authors.initials: MF
authors.lastname: Salgado Filho
authors.affiliation: Universidade do Vale do Sapucaí, Pouso Alegre, MG, Brazil.
authors.forename: Antônio Carlos Aguiar
authors.initials: AC
authors.lastname: Brandão
mesh_terms: D000328:Adult; D060666:Airway Extubation; D000758:Anesthesia / Q000379:methods*; D004452:Echocardiography; D005260:Female; D006801:Humans; D006976:Hypertension, Pulmonary / Q000601:surgery*; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D012189:Retrospective Studies; D019616:Thoracic Surgical Procedures / Q000379:methods*; D013997:Time Factors; D055815:Young Adult