Pulmonary Hypertension and Weaning

Pulmonary hypertension is a patophysiologic state of pulmonary circulation that mean pulmonary arterial pressure is measured as equal to or greater than 25 mmHg at rest via right heart cateterization. Although this disease is very common in intensive care unit (ICU) patients and determines the clini...

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Main Authors: Ceren Gunt, Nedim Çekmen
Format: Article
Language:English
Published: Galenos Yayinevi 2016-12-01
Series:Türk Yoğun Bakim Derneği Dergisi
Subjects:
Online Access:http://www.yogunbakimderg.com/article_12377/Pulmonary-Hypertension-And-Weaning
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author Ceren Gunt
Nedim Çekmen
author_facet Ceren Gunt
Nedim Çekmen
author_sort Ceren Gunt
collection DOAJ
description Pulmonary hypertension is a patophysiologic state of pulmonary circulation that mean pulmonary arterial pressure is measured as equal to or greater than 25 mmHg at rest via right heart cateterization. Although this disease is very common in intensive care unit (ICU) patients and determines the clinical course, the diagnoses cannot be made or cannot be noticed typically. Pulmonary hypertension, due to being the cause of heart failure and progressive vascular remodelling in lung, leads to an increase in respiratory load. This result effects weaning process directly in these patients. Pulmonary hypertension which is not yet diagnosed should be considered in ICU who are in difficult or prolonged weaning group. For a successful in these patients, an optimal fluid management and avoiding factors trigerring increase in pulmonary vascular resistance (hypoxi, hypercarbia, high positive end-expiratory pressure, asidosis and hypothermia) are essential.
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spelling doaj.art-47913d02af1f4540bb95f93ca02a6a4d2023-02-15T16:08:45ZengGalenos YayineviTürk Yoğun Bakim Derneği Dergisi2146-64162147-267X2016-12-01143687910.4274/tybdd.98698Pulmonary Hypertension and WeaningCeren Gunt0Nedim Çekmen1Güven Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Ankara, TürkiyeGüven Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Ankara, TürkiyePulmonary hypertension is a patophysiologic state of pulmonary circulation that mean pulmonary arterial pressure is measured as equal to or greater than 25 mmHg at rest via right heart cateterization. Although this disease is very common in intensive care unit (ICU) patients and determines the clinical course, the diagnoses cannot be made or cannot be noticed typically. Pulmonary hypertension, due to being the cause of heart failure and progressive vascular remodelling in lung, leads to an increase in respiratory load. This result effects weaning process directly in these patients. Pulmonary hypertension which is not yet diagnosed should be considered in ICU who are in difficult or prolonged weaning group. For a successful in these patients, an optimal fluid management and avoiding factors trigerring increase in pulmonary vascular resistance (hypoxi, hypercarbia, high positive end-expiratory pressure, asidosis and hypothermia) are essential.http://www.yogunbakimderg.com/article_12377/Pulmonary-Hypertension-And-WeaningPulmonary hypertensiondifficult and prolonged weaningintensive care unit
spellingShingle Ceren Gunt
Nedim Çekmen
Pulmonary Hypertension and Weaning
Türk Yoğun Bakim Derneği Dergisi
Pulmonary hypertension
difficult and prolonged weaning
intensive care unit
title Pulmonary Hypertension and Weaning
title_full Pulmonary Hypertension and Weaning
title_fullStr Pulmonary Hypertension and Weaning
title_full_unstemmed Pulmonary Hypertension and Weaning
title_short Pulmonary Hypertension and Weaning
title_sort pulmonary hypertension and weaning
topic Pulmonary hypertension
difficult and prolonged weaning
intensive care unit
url http://www.yogunbakimderg.com/article_12377/Pulmonary-Hypertension-And-Weaning
work_keys_str_mv AT cerengunt pulmonaryhypertensionandweaning
AT nedimcekmen pulmonaryhypertensionandweaning