Document Detail


Update for nurse anesthetists. Eisenmenger syndrome: an anesthetic conundrum.
MedLine Citation:
PMID:  16786918     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Joseph A Joyce
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AANA journal     Volume:  74     ISSN:  0094-6354     ISO Abbreviation:  AANA J     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-21     Completed Date:  2006-07-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0431420     Medline TA:  AANA J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  233-9     Citation Subset:  N    
Affiliation:
Moses Cone Health System, Wesley Long Community Hospital Division, Greensboro, NC, USA.
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MeSH Terms
Descriptor/Qualifier:
Anesthesia / 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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