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ANESTHESIE EN TRANSPLANTATIE

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27-11-2010<br />

HART <strong>TRANSPLANTATIE</strong><br />

rechter ventrikelfalen: interventricular interdependence<br />

• pulmonale vasodilatatoren<br />

– inhaled NO<br />

– Prostaglandin E1<br />

– Prostacyclin (PGI2; iloprost)<br />

• inhaled<br />

• selective pulmonary vasodilation<br />

– endothelin-antagonists<br />

• inhaled<br />

– (nesitride)<br />

– (Adrenomedullin)<br />

55<br />

HART <strong>TRANSPLANTATIE</strong><br />

rechter ventrikelfalen: inhaled NO<br />

• succesvol in ARDS en perioperatieve PHT<br />

• NO heeft GE<strong>EN</strong> effect op overleving<br />

• NO heeft vooral effect of oxygenatie en verlagen van RV afterload<br />

• (anit-inflammatoir)<br />

• non-responders<br />

• rebound PHT<br />

56<br />

28

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