Journal article
Acute right ventricular dysfunction: real-time management with echocardiography
Chest, Vol.147(3), pp.835-846
03/2015
DOI: 10.1378/chest.14-1335
PMID: 25732449
Abstract
In critically ill patients, the right ventricle is susceptible to dysfunction due to increased afterload, decreased contractility, or alterations in preload. With the increased use of point-of-care ultrasonography and a decline in the use of pulmonary artery catheters, echocardiography can be the ideal tool for evaluation and to guide hemodynamic and respiratory therapy. We review the epidemiology of right ventricular failure in critically ill patients; echocardiographic parameters for evaluating the right ventricle; and the impact of mechanical ventilation, fluid therapy, and vasoactive infusions on the right ventricle. Finally, we summarize the principles of management in the context of right ventricular dysfunction and provide recommendations for echocardiography-guided management.
Details
- Title: Subtitle
- Acute right ventricular dysfunction: real-time management with echocardiography
- Creators
- Sundar Krishnan - Department of Anesthesia, University of Iowa, Iowa City, IAGregory A Schmidt - Department of Internal Medicine, University of Iowa, Iowa City, IA. Electronic address: gregory-a-schmidt@uiowa.edu
- Resource Type
- Journal article
- Publication Details
- Chest, Vol.147(3), pp.835-846
- DOI
- 10.1378/chest.14-1335
- PMID
- 25732449
- ISSN
- 0012-3692
- eISSN
- 1931-3543
- Language
- English
- Date published
- 03/2015
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Anesthesia; Internal Medicine
- Record Identifier
- 9984094514902771
Metrics
29 Record Views