We are a leading healthcare campus encompassing all fields of health: from healthcare and research to teaching and management.
Professionalism, commitment and research by professionals on the Campus are the key elements in offering patients excellent care.
We are committed to research as a tool to provide solutions to the daily challenges we face in the field of medical healthcare.
Thanks to our healthcare, teaching and research potential, we work to incorporate new knowledge to generate value for patients, professionals and the organization itself.
We generate, transform and transmit knowledge in all areas of the health sciences, helping to train the professionals of the future.
We are defined by our vocation for communication. We invite you to share everything that happens at Vall d'Hebron Barcelona Hospital Campus, and our doors are always open.
Hospital donations
Research donations
Dr. Antonio Roman
Pulmonary hypertension is a risk factor for patients who need surgery and, therefore, defining strategies for its management is important to allow a favorable clinical evolution.
Pulmonary hypertension, characterized by high blood pressure in the arteries of the lungs and the right side of the heart, increases the risk of complications and death in patients undergoing surgery. A team of international experts with the participation of Dr. Antonio Roman, Director of Healthcare of the Vall d'Hebron University Hospital, has drawn up a consensus document for the management of this type of patient with the aim of reducing the risks associated with the operation and improving their clinical evolution. The work, published in The Journal of Heart and Lung Transplantation, was commissioned to a group of experts in pulmonary hypertension by the International Society of Heart and Lung Transplantation in response to the need for a guide for all professionals who care for these patients.
The new guideline is published after more than four years of intense work and responds to the problems that arise with patients suffering from pulmonary hypertension who require surgical treatment for different reasons. "Accurate risk assessment and diagnosis is necessary to be able to offer or not offer surgical treatment to these patients", explains Dr. Roman.
The international consensus document includes recommendations for the follow-up of patients with pulmonary hypertension before, during and after different types of surgery. In relation to preoperative evaluation, the paper emphasizes the assessment of the risk posed by surgery for each patient. It depends, among others, on the cause of the pulmonary hypertension, the patient's condition at the time of surgery, the fact of suffering from other diseases and the type and urgency of the surgery. A multidisciplinary team consisting of pulmonary hypertension specialists, anesthesiologists, surgeons, intensivists, pharmacists and nurses will be in charge of preparing a plan for the operation. The experts also stress the importance of stabilizing patients as much as possible and improving the function of the right ventricle of the heart before undergoing the operation.
During the intervention, the publication details the recommendations regarding anesthesia, in which the use of local anesthesia is recommended, if possible, as it is safer than general anesthesia. Regarding mechanical ventilation, the experts emphasize its necessity to avoid oxygen deprivation in the patients, but they explain the strategies that would be advisable to avoid undesired effects.
After the operation, it is essential to closely monitor patients, especially during the first 48-72 hours, when there is a greater risk of complications, such as infections, sepsis, arrhythmias, etc. Above all, it is important to control pain without opioid drugs and to ensure adequate oxygenation.
The document also sets out strategies for the management of possible complications or cardiac failure, as well as characteristic aspects to be taken into account in each type of intervention, whether cardiac or non-cardiac.
The new guideline responds to the problems that arise with patients suffering from pulmonary hypertension who require surgical treatment for different reasons.
Healthcare Management, General Hospital
The acceptance of these terms implies that you give your consent to the processing of your personal data for the provision of the services you request through this portal and, if applicable, to carry out the necessary procedures with the administrations or public entities involved in the processing. You may exercise the mentioned rights by writing to web@vallhebron.cat, clearly indicating in the subject line “Exercise of LOPD rights”. Responsible entity: Vall d’Hebron University Hospital (Catalan Institute of Health). Purpose: Subscription to the Vall d’Hebron Barcelona Hospital Campus newsletter, where you will receive news, activities, and relevant information. Legal basis: Consent of the data subject. Data sharing: If applicable, with VHIR. No other data transfers are foreseen. No international transfer of personal data is foreseen. Rights: Access, rectification, deletion, and data portability, as well as restriction and objection to its processing. The user may revoke their consent at any time. Source: The data subject. Additional information: Additional information can be found at https://hospital.vallhebron.com/es/politica-de-proteccion-de-datos.