The biggest problem most PH patients have with big procedures is the anesthesia. I can’t suggest strongly enough the benefit of having a cardiac anesthesiologist.
Another concern is how much fluid you might retain, not only where it is visible, but in the lungs and heart. This is from the saline solution that will get put into you. Come up with a pre-planned diuretic plan with your PH team that will be based on your weight gain from fluid retention the first few days after surgery.
May 30
The ph told me I could have my hip replaced. Is that weird?
May 30
I would recommend requesting that you have a "cardiac anesthesiologist" added into your care team. That is the top level of the anesthesiologist hierarchy and they go through a cardiac fellowship which includes their studying PH. If your surgeon balks, have your PH specialist communicate with them as to your PH related anesthesia requirements.
Good luck!
May 30 (edited)
Having surgery with PH does come with extra considerations, and gallbladder removal is no exception. The good news is that surgery can be done safely with the right preparation and medical team.
Before any surgery, doctors typically run tests to check how well your heart and lungs are functioning. These may include:
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Having surgery with PH does come with extra considerations, and gallbladder removal is no exception. The good news is that surgery can be done safely with the right preparation and medical team.
Before any surgery, doctors typically run tests to check how well your heart and lungs are functioning. These may include:
- Electrocardiogram (EKG)
- Echocardiogram (heart ultrasound)
- Chest X-rays
- Lab tests
- Lung function tests
- Right heart catheterization One key goal before surgery is making sure your PH is as well-managed as possible. Your surgical team will also review any medications you're taking and let you know if any need to be paused beforehand.
During surgery, the anesthesiologist plays a big role in keeping things safe. They'll aim to use local or regional anesthesia where possible, as it has less impact on breathing and blood pressure in the lungs. The most important step is having an open conversation with your PH specialist and surgeon so they can plan together. An anesthesiologist experienced with PH cases makes a real difference too!
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Anesthesia for Pulmonary Hypertension: Your Guide
May 30