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Can I read Diagnostic workup, etiologies and management of acute right ventricle failure: A state-of-the-art paper on EtoBox?

Diagnostic workup, etiologies and management of acute right ventricle failure: A state-of-the-art paper by Antoine Vieillard-Baron; R. Naeije; F. Haddad; H. J. Bogaard; T. M. Bull; N. Fletcher; T. Lahm; S. Magder; S. Orde; G. Schmidt; M. R. Pinsky is a Medicine article available to read on EtoBox.

What is Diagnostic workup, etiologies and management of acute right ventricle failure: A state-of-the-art paper about?

## Introduction: This is a state-of-the-art article of the diagnostic process, etiologies and management of acute right ventricular (rv) failure in critically ill patients. it is based on a large review of previously published articles in the field, as well as the expertise of the authors. ## Results: The authors propose the ten key points and directions for future research in the field. rv failure (rvf) is frequent in the icu, magnified by the frequent need for positive pressure ventilation. while no universal definition of rvf is accepted, we propose that rvf may be defined as a state in which the right ventricle is unable to meet the demands for blood flow without excessive use of the frank-starling mechanism (i.e. increase in stroke volume associated with increased preload). both echocardiography and hemodynamic monitoring play a central role in the evaluation of rvf in the icu. management of rvf includes treatment of the causes, respiratory optimization and hemodynamic support. the administration of fluids is potentially deleterious and unlikely to lead to improvement in cardiac output in the majority of cases. vasopressors are needed in the setting of shock to restore the sys

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Author
Antoine Vieillard-Baron; R. Naeije; F. Haddad; H. J. Bogaard; T. M. Bull; N. Fletcher; T. Lahm; S. Magder; S. Orde; G. Schmidt; M. R. Pinsky
Publisher
Springer Science and Business Media LLC
Published
2018
Language
EN
Field
Medicine (Health Sciences)

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