• Critical care clinics · Jul 2014

    Review

    Management of Right Heart Failure in the Critically Ill.

    • Christopher King, Christopher W May, Jeffrey Williams, and Oksana A Shlobin.
    • Medical Critical Care Service, Inova Fairfax Hospital, 618 South Royal Street, Alexandria, VA 22314, USA. Electronic address: Csking123@hotmail.com.
    • Crit Care Clin. 2014 Jul 1;30(3):475-98.

    AbstractRight ventricular failure complicates several commonly encountered conditions in the intensive care unit. Right ventricular dilation and paradoxic movement of the interventricular septum on echocardiography establishes the diagnosis. Right heart catheterization is useful in establishing the specific cause and aids clinicians in management. Principles of treatment focus on reversal of the underlying cause, optimization of right ventricular preload and contractility, and reduction of right ventricular afterload. Mechanical support with right ventricular assist device or veno-arterial extracorporeal membrane oxygenation can be used in select patients who fail to improve with optimal medical therapy.Copyright © 2014 Elsevier Inc. All rights reserved.

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