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...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Annals of Cardiac Anaesthesia |
| Subjects: | |
| Online Access: | http://www.annals.in/article.asp?issn=0971-9784;year=2022;volume=25;issue=4;spage=528;epage=530;aulast=Salaunkey |
| _version_ | 1811220682821861376 |
|---|---|
| author | Kiran Salaunkey David Jenkins Andrew Roscoe |
| author_facet | Kiran Salaunkey David Jenkins Andrew Roscoe |
| author_sort | Kiran Salaunkey |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-04-12T07:47:07Z |
| format | Article |
| id | doaj.art-c81a5559041c49bc8b08f29445e853f9 |
| institution | Directory Open Access Journal |
| issn | 0971-9784 |
| language | English |
| last_indexed | 2024-04-12T07:47:07Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Annals of Cardiac Anaesthesia |
| spelling | doaj.art-c81a5559041c49bc8b08f29445e853f92022-12-22T03:41:41ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842022-01-0125452853010.4103/aca.aca_24_21The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case seriesKiran SalaunkeyDavid JenkinsAndrew RoscoePulmonary 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.http://www.annals.in/article.asp?issn=0971-9784;year=2022;volume=25;issue=4;spage=528;epage=530;aulast=Salaunkeycardiac anesthesiachronic thromboembolic pulmonary hypertensionketaminepulmonary hypertensionpulmonary thromboendarterectomy |
| spellingShingle | Kiran Salaunkey David Jenkins Andrew Roscoe The use of ketamine as an induction agent for anesthesia in pulmonary thromboendarterectomy surgery: A case series Annals of Cardiac Anaesthesia cardiac anesthesia chronic thromboembolic pulmonary hypertension ketamine pulmonary hypertension pulmonary thromboendarterectomy |
| 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 | cardiac anesthesia chronic thromboembolic pulmonary hypertension ketamine pulmonary hypertension pulmonary thromboendarterectomy |
| url | http://www.annals.in/article.asp?issn=0971-9784;year=2022;volume=25;issue=4;spage=528;epage=530;aulast=Salaunkey |
| work_keys_str_mv | AT kiransalaunkey theuseofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries AT davidjenkins theuseofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries AT andrewroscoe theuseofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries AT kiransalaunkey useofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries AT davidjenkins useofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries AT andrewroscoe useofketamineasaninductionagentforanesthesiainpulmonarythromboendarterectomysurgeryacaseseries |