The Anesthetic Challenges of Lung Biopsy-Associated Intrathoracic Hemorrhage in a Child With Suprasystemic Pulmonary Hypertension.
Children with suspected pulmonary hypertension must undergo extensive and invasive evaluations to establish a definitive diagnosis. A previously healthy 4-year old girl, newly diagnosed with suprasystemic pulmonary hypertension required multiple lung biopsies. Each procedure was associated with significant bleeding. The challenging anesthetic management of lung biopsy in the presence of suprasystemic pulmonary hypertension is described.
1 Children's Hospital Colorado, Aurora, CO, USA.
Rachel Gabrielle
RG
Clopton
1 Children's Hospital Colorado, Aurora, CO, USA.
Robert
R
Friesen
1 Children's Hospital Colorado, Aurora, CO, USA.
David
D
Partrick
1 Children's Hospital Colorado, Aurora, CO, USA.
Neil
N
Wilson
1 Children's Hospital Colorado, Aurora, CO, USA.
James
J
Jaggers
1 Children's Hospital Colorado, Aurora, CO, USA.
David Dunbar
DD
Ivy
1 Children's Hospital Colorado, Aurora, CO, USA.|2 University of Colorado, Denver, CO, USA.
Lawrence Israel
LI
Schwartz
1 Children's Hospital Colorado, Aurora, CO, USA.
Richard John
RJ
Ing
D000777:Anesthetics / Q000008:administration & dosage*; D001706:Biopsy / Q000009:adverse effects / Q000379:methods*; D002675:Child, Preschool; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000175:diagnosis*; D008171:Lung Diseases / Q000175:diagnosis
D000777:Anesthetics
hemorrhage; pulmonary arterial pressure; thoracic surgery