• Curr Opin Crit Care · Aug 2021

    Review

    Mechanical ventilation in cardiogenic shock.

    • Guido Tavazzi.
    • Unit of Anaesthesia and Intensive Care, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia.
    • Curr Opin Crit Care. 2021 Aug 1; 27 (4): 447-453.

    Purpose Of ReviewMechanical ventilation is frequently needed in patients with cardiogenic shock. The aim of this review is to summarize and discuss the current evidence and the pathophysiological mechanism that a clinician should consider while setting the ventilator.Recent FindingsLittle attention has been placed specifically to ventilatory strategies in patients with cardiogenic shock undertaking mechanical ventilation. Lung failure in patients with cardiogenic shock is associated with worsening outcome as well as a delay in mechanical ventilation institution. The hemodynamic profile and cardiogenic shock cause, considering the preload dependency of the failing heart, must be defined to adjust ventilatory setting.SummaryEvidence is growing regarding the role of lung failure as adverse prognostic factor and beneficial effect of positive pressure ventilation as part of first-line treatment in patients with cardiogenic failure.Copyright © 2021 Wolters Kluwer Health, Inc. All rights reserved.

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