{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,2]],"date-time":"2025-05-02T12:17:00Z","timestamp":1746188220783,"version":"3.37.3"},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T00:00:00Z","timestamp":1676851200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T00:00:00Z","timestamp":1676851200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Methamphetamine abuse is a serious public health concern and causes various life-threatening disorders including pulmonary arterial hypertension (PAH). Herein, we present the first case report describing the anesthetic management of a patient with methamphetamine-associated PAH (M-A PAH) undergoing laparoscopic cholecystectomy.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>A 34-year-old female with M-A PAH suffered from deterioration of right ventricular (RV) heart failure due to recurrent cholecystitis and was scheduled for laparoscopic cholecystectomy. Preoperative assessment of PA pressure showed 82\/32 (mean, 50) mmHg, and transthoracic echocardiology revealed a slight reduction of RV function. General anesthesia was induced and maintained by thiopental, remifentanil, sevoflurane, and rocuronium. PA pressure gradually increased after peritoneal insufflation; therefore, we administered dobutamine and nitroglycerin to decrease pulmonary vascular resistance (PVR). The patient emerged from anesthesia smoothly.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Avoiding increased PVR by appropriate anesthesia and medical hemodynamic support is an important consideration for patients with M-A PAH.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-023-00601-3","type":"journal-article","created":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T01:02:28Z","timestamp":1676854948000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Anesthetic management of a patient with methamphetamine-associated pulmonary arterial hypertension undergoing laparoscopic cholecystectomy"],"prefix":"10.1186","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2775-9549","authenticated-orcid":false,"given":"Kensuke","family":"Oshita","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shin","family":"Tokuyama","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shosaburo","family":"Jotaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiko","family":"Yokomizo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teruyuki","family":"Hiraki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,2,20]]},"reference":[{"key":"601_CR1","doi-asserted-by":"publisher","first-page":"1679","DOI":"10.1503\/cmaj.071675","volume":"178","author":"SJ Kish","year":"2008","unstructured":"Kish SJ. Pharmacologic mechanisms of crystal meth. CMAJ. 2008;178:1679\u201382.","journal-title":"CMAJ"},{"key":"601_CR2","doi-asserted-by":"publisher","first-page":"325","DOI":"10.1016\/j.hlc.2015.10.019","volume":"25","author":"ED Paratz","year":"2016","unstructured":"Paratz ED, Cunningham NJ, MacIsaac AI. The cardiac complications of methamphetamines. Heart Lung Circ. 2016;25:325\u201332.","journal-title":"Heart Lung Circ"},{"issue":"1","key":"601_CR3","first-page":"167","volume":"3","author":"R Xu","year":"2021","unstructured":"Xu R, Zhao SX. Current state and understanding of methamphetamine-associated pulmonary arterial hypertension. Eur J Respir Med. 2021;3(1):167\u201371.","journal-title":"Eur J Respir Med"},{"key":"601_CR4","doi-asserted-by":"publisher","first-page":"56","DOI":"10.1111\/anae.12831","volume":"70","author":"SA Pilkington","year":"2015","unstructured":"Pilkington SA, Taboada D, Martinez G. Pulmonary hypertension and its management in patients undergoing non-cardiac surgery. Anesthesia. 2015;70:56\u201370.","journal-title":"Anesthesia"},{"key":"601_CR5","doi-asserted-by":"publisher","first-page":"329","DOI":"10.1378\/chest.12-1752","volume":"144","author":"OA Minai","year":"2013","unstructured":"Minai OA, Yared JP, Kaw R, Subramaniam K, Hill NS. Perioperative risk and management in patients with pulmonary hypertension. Chest. 2013;144:329\u201340.","journal-title":"Chest"},{"key":"601_CR6","doi-asserted-by":"publisher","first-page":"1302","DOI":"10.1183\/09031936.00089212","volume":"41","author":"S Meyer","year":"2013","unstructured":"Meyer S, McLaughlin VV, Seyfarth HJ, Bull TM, Vizza CD, Gomberg-Maitland M, et al. Outcome of noncardiac, nonobestertic surgery in patients with PAH: an international prospective survey. Eur Respir J. 2013;41:1302\u20137.","journal-title":"Eur Respir J"},{"key":"601_CR7","doi-asserted-by":"publisher","first-page":"1657","DOI":"10.1378\/chest.130.6.1657","volume":"130","author":"KM Chin","year":"2006","unstructured":"Chin KM, Channick RN, Rubin LJ. Is methamphetamine use associated with idiopathic pulmonary arterial hypertension? Chest. 2006;130:1657\u201363.","journal-title":"Chest"},{"key":"601_CR8","doi-asserted-by":"publisher","first-page":"49","DOI":"10.21693\/1933-088X-17.2.49","volume":"17","author":"RL Ramirez","year":"2018","unstructured":"Ramirez RL, de Jesus PV, Zamanian RT. Stimulants and pulmonary arterial hypertension: an update. Adv Pulm Hypertens. 2018;17:49\u201354.","journal-title":"Adv Pulm Hypertens"},{"key":"601_CR9","doi-asserted-by":"publisher","first-page":"741","DOI":"10.1136\/jmg.37.10.741","volume":"37","author":"JR Thomson","year":"2000","unstructured":"Thomson JR, Machado RD, Pauciulo MW, Morgan NV, Humbert M, Elliot GC, et al. Sporadic primary pulmonary hypertension is associated with germline mutations of the gene encoding BMPR-II, a receptor member of the TGF-beta family. J Med Genet. 2000;37:741\u20135.","journal-title":"J Med Genet"},{"key":"601_CR10","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1513\/AnnalsATS.202007-774OC","volume":"18","author":"NA Kolaitis","year":"2021","unstructured":"Kolaitis NA, Zamanian RT, de Jesus Perez VA, Badesch DB, Benza RL, Burger CD, et al. Clinical differences and outcomes between methamphetamine-associated and idiopathic pulmonary arterial hypertension in the pulmonary hypertension association registry. Ann Am Thorac Soc. 2021;18:613\u201322.","journal-title":"Ann Am Thorac Soc"},{"key":"601_CR11","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1046\/j.1365-2044.2002.02324.x","volume":"57","author":"YL Kwak","year":"2002","unstructured":"Kwak YL, Lee CS, Park YH, Hong YW. The effect of phenylephrine and norepinephrine in patients with chronic pulmonary hypertension. Anaesthesia. 2002;57:9\u201314.","journal-title":"Anaesthesia"},{"key":"601_CR12","doi-asserted-by":"publisher","first-page":"640","DOI":"10.3390\/neurolint13040062","volume":"13","author":"MW Harbell","year":"2021","unstructured":"Harbell MW, Dumitrascu C, Bettini L, Yu S, Thiele CM, Koyyalamudi V. Anesthetic considerations for patients on psychotropic drug therapies. Neurol Int. 2021;13:640\u201358.","journal-title":"Neurol Int"},{"key":"601_CR13","doi-asserted-by":"publisher","first-page":"177","DOI":"10.3390\/diagnostics12010177","volume":"12","author":"T Senoner","year":"2022","unstructured":"Senoner T, Velik-Salchner C, Tauber H. The pulmonary artery catheter in the perioperative setting: should it still be used? Diagnostics. 2022;12:177.","journal-title":"Diagnostics"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-023-00601-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-023-00601-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-023-00601-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,20]],"date-time":"2023-02-20T01:03:16Z","timestamp":1676854996000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-023-00601-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,20]]},"references-count":13,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["601"],"URL":"https:\/\/doi.org\/10.1186\/s40981-023-00601-3","relation":{},"ISSN":["2363-9024"],"issn-type":[{"type":"electronic","value":"2363-9024"}],"subject":[],"published":{"date-parts":[[2023,2,20]]},"assertion":[{"value":"21 November 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2023","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 February 2023","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 February 2023","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this report.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"10"}}