Condotta anestesiologica per intervento di lobectomia polmonare inferiore in paziente cardiotrapiantato. Caso clinico.

Translated title of the contribution: Anesthesiologic management for lower pulmonary lobectomy intervention in patients with heart transplant. A clinical case

E. Domenegati, R. Ciccone, F. Reali, C. Reposi, D. De Amici, M. Rissotti

Research output: Contribution to journalArticle

Abstract

The Authors describe the case of a patient who had undergone human allograft cardiac transplant seven months before inferior pulmonary lobectomy for neoplasia. The pulmonary neoplasia had been revealed by X-rays during the periodic check-up examinations. Because of the high risk of infection following corticosteroid and immunosuppressive therapy, sterile equipment for invasive monitoring and oro-tracheal intubation has been used. The denervated heart presents peculiar haemodynamic and pharmacological aspects that the anaesthetist must pay attention to in the conduction of a general anaesthesia; moreover, arrhythmias are common in the recently transplanted heart. Anaesthesia has been induced and maintained by an association propofol-fentanyl that showed a good cardiocirculatory stability; neither arrhythmias have happened, nor the need for drugs different from those of anaesthesia and resuscitation have occurred.

Original languageItalian
Pages (from-to)477-480
Number of pages4
JournalMinerva Anestesiologica
Volume55
Issue number11
Publication statusPublished - Nov 1989

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Cardiac Arrhythmias
Anesthesia
Transplants
Lung
Fentanyl
Propofol
Immunosuppressive Agents
Intubation
Resuscitation
General Anesthesia
Allografts
Neoplasms
Adrenal Cortex Hormones
Hemodynamics
X-Rays
Pharmacology
Equipment and Supplies
Infection
Pharmaceutical Preparations
Therapeutics

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Condotta anestesiologica per intervento di lobectomia polmonare inferiore in paziente cardiotrapiantato. Caso clinico. / Domenegati, E.; Ciccone, R.; Reali, F.; Reposi, C.; De Amici, D.; Rissotti, M.

In: Minerva Anestesiologica, Vol. 55, No. 11, 11.1989, p. 477-480.

Research output: Contribution to journalArticle

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