| Update for nurse anesthetists. Eisenmenger syndrome: an anesthetic conundrum. | |
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MedLine Citation:
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PMID: 16786918 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Eisenmenger syndrome is an insidious disease entity. This disease is characterized by an unrepaired congenital heart defect and left-to-right cardiac shunting. After many years of increased blood flow through the pulmonary system as a result of the shunting, damage to the pulmonary vessels occurs, culminating in severe pulmonary hypertension. The pulmonary hypertension eventually causes the cardiac shunt to reverse direction. The right-to-left shunt results in a very debilitated patient. There is no known medical cure for this disease; the only curative option is heart-lung transplantation or bilateral lung transplantation with repair of the patent heart defect. Because of the great strides in medical care, more patients with Eisenmenger syndrome require anesthesia. Maintaining the patient's systemic vascular resistance at the preoperative level is of paramount importance. Choosing the best anesthesia technique is difficult, at best. |
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Authors:
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Joseph A Joyce |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: AANA journal Volume: 74 ISSN: 0094-6354 ISO Abbreviation: AANA J Publication Date: 2006 Jun |
Date Detail:
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Created Date: 2006-06-21 Completed Date: 2006-07-20 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0431420 Medline TA: AANA J Country: United States |
Other Details:
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Languages: eng Pagination: 233-9 Citation Subset: N |
Affiliation:
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Moses Cone Health System, Wesley Long Community Hospital Division, Greensboro, NC, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anesthesia
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adverse effects,
methods*,
nursing Eisenmenger Complex / complications, physiopathology, therapy* Heart-Lung Transplantation Hemoptysis / etiology Humans Hypertension, Pulmonary / etiology Monitoring, Intraoperative / methods, nursing Nurse Anesthetists Patient Selection Perioperative Care / methods, nursing Vascular Resistance |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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