Abstract:

Objective: Pulmonary hypertension (PH) is a disorder of the pulmonary vascular bed that results in decreased pulmonary blood flow. In our study, we aimed to investigate our anesthetic approaches in patients with preoperative PH. Material and Methods: Patients who underwent surgery under anesthesia between November 2018 and March 2021 with elevated Pulmonary arterial pressure (PAP≥25mmHg) in echocardiography in their preoperative examinations were included in the study. The gender, age, comorbidities, transthoracic echocardiographies of the patients, types of anesthesia applied during the operation, operation times, postoperative service/intensive care unit follow-up periods, postoperative complications and mortality were examined. Results: Of the patients included in the study, 46 were female and 31 were male. The mean age was 68.71±15.03. While no additional disease was observed in 2.6% of the patients, an additional disease was present in 97.4% of them. When we evaluate according to the type of anesthesia applied to the patients; 89.6% of the patients were operated under general anesthesia, and 10.4% of them were operated under regional anesthesia. After the operation, 51.9% of the patients were admitted to the ward, and 48.1 % were admitted to the intensive care unit. While 9 of 77 patients died, 68 were discharged from the hospital. While complications were not observed in 76.6% of the patients, the most common complication was infection with a rate of 9.1%. Conclusion: When we classify patients with preoperative PH according to degrees; it was observed that there was no significant difference between the anesthesia method applied, the postoperative service, intensive care follow-up periods of the patients, postoperative discharge and mortality rates. We believe that there is a need for national guidelines and prospective studies about the anesthetic approach of patients with PH.

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