The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series

Pulmonary thromboendarterectomy (PTE) surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension (CTEPH). The induction of anesthesia in patients with severe pulmonary hypertension (PHT) can be challenging, with a risk of cardiovascular collapse. The administr...

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Autores principales: Salaunkey, Kiran, Jenkins, David, Roscoe, Andrew
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Case Series
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732956/
https://www.ncbi.nlm.nih.gov/pubmed/36254923
http://dx.doi.org/10.4103/aca.aca_24_21
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author Salaunkey, Kiran
Jenkins, David
Roscoe, Andrew
author_facet Salaunkey, Kiran
Jenkins, David
Roscoe, Andrew
author_sort Salaunkey, Kiran
collection PubMed
description Pulmonary thromboendarterectomy (PTE) surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension (CTEPH). The induction of anesthesia in patients with severe pulmonary hypertension (PHT) can be challenging, with a risk of cardiovascular collapse. The administration of ketamine in patients with PHT is controversial, with some recommendations contraindicating its use. However, ketamine has been used safely in children with severe PHT. We present a retrospective case series of adult patients with severe PHT presenting for PTE surgery, using intravenous ketamine as a co-induction anesthetic agent.
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spelling pubmed-97329562022-12-10 The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series Salaunkey, Kiran Jenkins, David Roscoe, Andrew Ann Card Anaesth Case Series Pulmonary thromboendarterectomy (PTE) surgery is the treatment of choice for patients with chronic thromboembolic pulmonary hypertension (CTEPH). The induction of anesthesia in patients with severe pulmonary hypertension (PHT) can be challenging, with a risk of cardiovascular collapse. The administration of ketamine in patients with PHT is controversial, with some recommendations contraindicating its use. However, ketamine has been used safely in children with severe PHT. We present a retrospective case series of adult patients with severe PHT presenting for PTE surgery, using intravenous ketamine as a co-induction anesthetic agent. Wolters Kluwer - Medknow 2022 2022-10-10 /pmc/articles/PMC9732956/ /pubmed/36254923 http://dx.doi.org/10.4103/aca.aca_24_21 Text en Copyright: © 2022 Annals of Cardiac Anaesthesia https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Series
Salaunkey, Kiran
Jenkins, David
Roscoe, Andrew
The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title_full The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title_fullStr The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title_full_unstemmed The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title_short The Use of Ketamine as an Induction Agent for Anesthesia in Pulmonary Thromboendarterectomy Surgery: A Case Series
title_sort use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: a case series
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9732956/
https://www.ncbi.nlm.nih.gov/pubmed/36254923
http://dx.doi.org/10.4103/aca.aca_24_21
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