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 journalArticlepeer-review

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.

Translated title of the contributionAnesthesiologic management for lower pulmonary lobectomy intervention in patients with heart transplant. A clinical case
Original languageItalian
Pages (from-to)477-480
Number of pages4
JournalMinerva Anestesiologica
Volume55
Issue number11
Publication statusPublished - Nov 1989

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

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