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My understanding is that PH patients should request having a cardiac anesthesiologist in their care team if they are going to be undergoing full anesthesia. I will be having one for my upcoming cardiac ablation.

February 6
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Answer Summary

Members discussed the critical importance of having a cardiac anesthesiologist when PH patients undergo full anesthesia, sharing that these... Read more

Members discussed the critical importance of having a cardiac anesthesiologist when PH patients undergo full anesthesia, sharing that these specialists complete additional fellowships after residency with specific training in heart and lung surgeries and pulmonary hypertension management. Several members recounted personal experiences where their PH specialists required or even stopped scheduled procedures to ensure a cardiac anesthesiologist would be present, emphasizing that these doctors use special monitoring techniques and protocols that regular anesthesiologists may not employ. A recurring theme was the strong recommendation that all PH patients advocate from the time of diagnosis for cardiac anesthesiologists during any procedure requiring more than local anesthesia, as this specialized care significantly reduces risks associated with respiratory depression and cardiac complications.

A myPHteam Member

Apparently they go through special fellowships after residency and have to participate in specific heart and lung surgeries. The fellowships include specific time learning about PH.

I think all PH patients should be taught from first diagnosis to insist on cardiac anesthesiologists.

February 6
A myPHteam Member

My cardio Doc. said I should never go under without a cardio specialist anesthesiology. That I would require being incubated the entire time. I looked back on my RHC/LHC, and they all say I had a cardio specialist Anesthesiology. I had no issues, all my other procedures they were just Anesthesiology and I had trouble. I do not know the training, Except that they are also Doctors not just achieved nurses.

February 6
A myPHteam Member

Marge: Thank you so much for sharing your experience. it really reinforces what so few PH patients know about getting anesthesia and I gives me greater confidence going in for my ablation

February 12
A myPHteam Member

Hi Heather, good luck with your upcoming procedure. My PAH specialist have always made me have a cardio-anesthesiologist there along with an anesthesiologist. I was told that besides the extra years of training they use special techniques and different monitor devices. Anyone with cardiac, vascular, or thoracic surgery's/issues it's best to have a cardiac anesthesiologist there. My doctors even called and stopped a colonoscopy I was supposed to have on the morning of the procedure. They were going over my chart and saw that I was going into have one done and had it stopped because there was not a cardiac anesthesiologist going to be there. All this after the prep the day before. They said it's Best to be safe with PAH.

February 12
A myPHteam Member

@A myPHteam Member The procedure I'm having on 2/17 is a cardiac ablation which will be under full anesthesia. I've have had 4 RHCs which were all done with my being fully awake...just locals and some minor sedation.

February 8 (edited)

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