Acute right ventricular dysfunction: real-time management with echocardiography.

Journal Article (Journal Article;Review)

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.

Full Text

Duke Authors

Cited Authors

  • Krishnan, S; Schmidt, GA

Published Date

  • March 2015

Published In

Volume / Issue

  • 147 / 3

Start / End Page

  • 835 - 846

PubMed ID

  • 25732449

Electronic International Standard Serial Number (EISSN)

  • 1931-3543

Digital Object Identifier (DOI)

  • 10.1378/chest.14-1335

Language

  • eng

Conference Location

  • United States