• André Y Denault, Matthew P Aldred, Ali Hammoud, Yu Hao Zeng, William Beaubien-Souligny, Etienne J Couture, Stéphanie Jarry, Caroline E Gebhard, Stephane Langevin, Yoan Lamarche, and Pierre Robillard.
• Department of Anesthesiology and Critical Care Division, Montreal Heart Institute, Université de Montréal, Montreal, QC, Canada.
• Crit Care Explor. 2020 Oct 1; 2 (10): e0209.

ObjectivesTo report the use of common femoral vein Doppler interrogation as a simple technique to diagnose right ventricular dysfunction.DesignCase report.SettingCardiac surgical ICU.PatientsPostoperative cardiac surgical patients.InterventionsCommon femoral pulsed-wave and color Doppler examination associated with hepatic, portal, and renal venous Doppler measurement were obtained in both patients and before and after treatment in patient number 1. In addition, right ventricular pressure waveform examination was obtained in patient number 2.Measurements And Main ResultsThe technique to obtain common femoral venous Doppler is described. Two cases of patients presenting with right ventricular dysfunction and fluid overload with portal and renal venous congestion in the perioperative period undergoing complex multivalvular cardiac surgery are presented. Hemodynamic waveform monitoring was performed alongside echocardiographic, hepatic, and renal venous flow Doppler assessment, and spectral Doppler profiles of the common femoral veins were examined. Those findings were useful in confirming our diagnosis and guiding our response to treatment. An algorithm was developed and tested on two additional hemodynamically unstable patients.ConclusionsDoppler examination of the common femoral vein is a simple, fast, and noninvasive technique that could be useful to rule in the presence of right ventricular dysfunction with venous congestion and help guide the management of such patients.Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine.

4 keywords...

hide…