Acute right ventricular dysfunction: real-time management with echocardiography

Chest
Sundar Krishnan, Gregory A Schmidt

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.

Associated Clinical Trials

References

Sep 1, 1992·The American Review of Respiratory Disease·M R PinskyJ L Vincent
Feb 1, 1985·World Journal of Surgery·D J FarrarJ D Hill
Apr 1, 1985·Journal of the American College of Cardiology·T RyanW F Armstrong
Feb 12, 1981·The New England Journal of Medicine·F JardinJ P Bourdarias
Mar 1, 1980·Circulation·J A BrinkerM L Weisfeldt
Aug 15, 1994·The American Journal of Cardiology·M FerrarioC Montemartini
Mar 1, 1996·American Journal of Respiratory and Critical Care Medicine·D WalmrathW Seeger
Aug 15, 1996·The American Journal of Cardiology·M V McConnellR T Lee
Dec 1, 1996·American Journal of Respiratory and Critical Care Medicine·B ZwisslerK Peter
Jan 1, 1997·Chest·F JardinJ P Bourdarias
Oct 29, 1998·Chest·S E KopecA A Conlan
Mar 18, 1999·The American Journal of Cardiology·N NassS D Solomon
May 12, 2000·American Journal of Respiratory and Critical Care Medicine·J ChristensonJ B Hall
Aug 5, 2000·The Journal of Thoracic and Cardiovascular Surgery·M K Karunanithi, M P Feneley
Oct 5, 2001·Journal of the American College of Cardiology·B Stobierska-DzierzekR E Michler
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Antoine Vieillard-BaronFrancois Jardin
Dec 17, 2002·Journal of Applied Physiology·George M BalanosPeter A Robbins
Jun 18, 2003·The American Journal of Emergency Medicine·Carlo BovaAlfonso Noto
Nov 13, 2004·Chest·Majo X JosephStuart J Hutchison
Jan 25, 2005·European Journal of Echocardiography : the Journal of the Working Group on Echocardiography of the European Society of Cardiology·Franco CasazzaOrnella Agostoni
May 6, 2006·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Yunseok JeonJu Youn Choi
Jun 27, 2006·The Journal of Thoracic and Cardiovascular Surgery·André Y DenaultJean-Claude Tardif
Aug 5, 2006·American Journal of Respiratory and Critical Care Medicine·Paul R ForfiaPaul M Hassoun
Feb 3, 2007·Intensive Care Medicine·François Jardin, Antoine Vieillard-Baron
Mar 27, 2007·BMJ : British Medical Journal·Neill K J AdhikariMaureen O Meade
Jul 10, 2007·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·J Matthew BrennanKirk T Spencer
Oct 11, 2007·Chest·Antoine Vieillard-BaronFrançois Jardin
Apr 29, 2008·The International Journal of Cardiovascular Imaging·Wyman W LaiTal Geva
Jan 20, 2009·Anesthesia and Analgesia·François HaddadAndré Y Denault
Jun 3, 2010·The European Respiratory Journal·S M BrownC K Grissom

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Citations

Oct 28, 2016·Journal of Artificial Organs : the Official Journal of the Japanese Society for Artificial Organs·Chiara LazzeriAdriano Peris
Nov 18, 2017·Critical Care Medicine·Fraser Mackay, Nitin Puri
Dec 5, 2017·BioMed Research International·Juan C Grignola, Enric Domingo
Jun 3, 2018·Echocardiography·Luigi VetrugnoTiziana Bove
Sep 20, 2018·Seminars in Cardiothoracic and Vascular Anesthesia·J Mauricio Del RioAlina Nicoara
Mar 14, 2019·Current Opinion in Critical Care·Sundar Krishnan, Gregory A Schmidt
Aug 21, 2018·Journal of Intensive Care·Armin Ahmed, Afzal Azim
Jun 25, 2020·Interactive Cardiovascular and Thoracic Surgery·Saida Rézaiguia-DelclauxFrançois Stéphan
Sep 11, 2020·Current Cardiology Reports·Keith Guevarra, Yonatan Greenstein
Jul 13, 2018·Chinese Medical Journal·Xin DingUNKNOWN Chinese Critical Ultrasound Study Group (CCUSG)
May 11, 2018·Intensive Care Medicine·Antoine Vieillard-BaronM R Pinsky
Oct 6, 2020·BioMed Research International·Tongjuan ZouUNKNOWN Chinese Critical Ultrasound Study Group (CCUSG)
Nov 15, 2016·Current Opinion in Anaesthesiology·Stefano RomagnoliClaudio Ronco
Feb 18, 2021·Journal of Cardiothoracic and Vascular Anesthesia·Sudhakar SubramaniHarish Ramakrishna
Feb 2, 2021·Journal of Cardiology Cases·Edgar García-CruzFrancisco Martín Baranda-Tovar
Jul 14, 2021·Annals of Intensive Care·Hongmin ZhangUNKNOWN Critical Care Ultrasound Study Group

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