Management of Right Heart Failure in the Critically Ill

被引：24

作者：

King, Christopher ^{[1
]}

May, Christopher W. ^{[2
]}

Williams, Jeffrey ^{[3
]}

Shlobin, Oksana A. ^{[4
]}

机构：

[1] Inova Fairfax Hosp, Med Crit Care Serv, Alexandria, VA 22314 USA

[2] Inova Fairfax Hosp, Adv Heart Failure & Cardiac Transplant Program, Falls Church, VA 22042 USA

[3] Inova Fairfax Hosp, Med Crit Care Serv, Falls Church, VA 22042 USA

[4] Inova Fairfax Hosp, Adv Lung Dis & Transplant Program, Falls Church, VA 22042 USA

来源：

CRITICAL CARE CLINICS | 2014年 / 30卷 / 03期

关键词：

Right ventricular failure; Right ventricular dysfunction; Pulmonary hypertension; Acute respiratory distress syndrome; INHALED NITRIC-OXIDE; RIGHT-VENTRICULAR DYSFUNCTION; RESPIRATORY-DISTRESS-SYNDROME; ACUTE LUNG INJURY; SEVERE PULMONARY-HYPERTENSION; LONG-TERM SURVIVAL; SEPTIC SHOCK; MYOCARDIAL-INFARCTION; FLUID RESPONSIVENESS; EJECTION FRACTION;

D O I：

10.1016/j.ccc.2014.03.003

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Right 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.

引用

页码：475 / +

页数：25

共 129 条

[1]

Abman SH, 2013, HANDB EXP PHARMACOL, V218, P257, DOI 10.1007/978-3-642-38664-0_11

[2] Inhaled Nitric Oxide for Acute Respiratory Distress Syndrome and Acute Lung Injury in Adults and Children: A Systematic Review with Meta-Analysis and Trial Sequential Analysis [J].

Afshari, Arash ;

Brok, Jesper ;

Moller, Ann M. ;

Wetterslev, Jorn .

ANESTHESIA AND ANALGESIA, 2011, 112 (06) :1411-1421

[3] Cardiac output monitoring: an integrative perspective [J].

Alhashemi, Jamal A. ;

Cecconi, Maurizio ;

Hofer, Christoph K. .

CRITICAL CARE, 2011, 15 (02)

[4] Inhaled nitric oxide for pulmonary hypertension after heart transplantation [J].

Ardehali, A ;

Hughes, K ;

Sadeghi, A ;

Esmailian, F ;

Marelli, D ;

Moriguchi, J ;

Hamilton, MA ;

Kobashigawa, J ;

Laks, H .

TRANSPLANTATION, 2001, 72 (04) :638-641

[5] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].

Barr, Juliana ;

Fraser, Gilles L. ;

Puntillo, Kathleen ;

Ely, E. Wesley ;

Gelinas, Celine ;

Dasta, Joseph F. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Davidson, Judy E. ;

Devlin, John W. ;

Kress, John P. ;

Joffe, Aaron M. ;

Coursin, Douglas B. ;

Herr, Daniel L. ;

Tung, Avery ;

Robinson, Bryce R. H. ;

Fontaine, Dorrie K. ;

Ramsay, Michael A. ;

Riker, Richard R. ;

Sessler, Curtis N. ;

Pun, Brenda ;

Skrobik, Yoanna ;

Jaeschke, Roman .

CRITICAL CARE MEDICINE, 2013, 41 (01) :263-306

[6] An Evaluation of Long-term Survival From Time of Diagnosis in Pulmonary Arterial Hypertension From the REVEAL Registry [J].

Benza, Raymond L. ;

Miller, Dave P. ;

Barst, Robyn J. ;

Badesch, David B. ;

Frost, Adaani E. ;

McGoon, Michael D. .

CHEST, 2012, 142 (02) :448-456

[7] Life-threatening right ventricular failure in pulmonary hypertension: RVAD or ECMO? [J].

Berman, Marius ;

Tsui, Steven ;

Vuylsteke, Alain ;

Klein, Andrew ;

Jenkins, David P. .

JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2008, 27 (10) :1188-1189

[8] Response to inhaled nitric oxide in patients with acute right heart syndrome [J].

Bhorade, S ;

Christenson, J ;

O'Connor, M ;

Lavoie, A ;

Pohlman, A ;

Hall, JB .

AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 1999, 159 (02) :571-579

[9] Intraaortic Balloon Pumping in Patients with Right Ventricular Insufficiency after Cardiac Surgery: Parameters to Predict Failure of IABP Support [J].

Boeken, U. ;

Feindt, P. ;

Litmathe, J. ;

Kurt, M. ;

Gams, E. .

THORACIC AND CARDIOVASCULAR SURGEON, 2009, 57 (06) :324-328

[10] Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. [J].

Brower, RG ;

Matthay, MA ;

Morris, A ;

Schoenfeld, D ;

Thompson, BT ;

Wheeler, A ;

Wiedemann, HP ;

Arroliga, AC ;

Fisher, CJ ;

Komara, JJ ;

Perez-Trepichio, P ;

Parsons, PE ;

Wolkin, R ;

Welsh, C ;

Fulkerson, WJ ;

MacIntyre, N ;

Mallatratt, L ;

Sebastian, M ;

McConnell, R ;

Wilcox, C ;

Govert, J ;

Thompson, D ;

Clemmer, T ;

Davis, R ;

Orme, J ;

Weaver, L ;

Grissom, C ;

Eskelson, M ;

Young, M ;

Gooder, V ;

McBride, K ;

Lawton, C ;

d'Hulst, J ;

Peerless, JR ;

Smith, C ;

Brownlee, J ;

Pluss, W ;

Kallet, R ;

Luce, JM ;

Gottlieb, J ;

Elmer, M ;

Girod, A ;

Park, P ;

Daniel, B ;

Gropper, M ;

Abraham, E ;

Piedalue, F ;

Glodowski, J ;

Lockrem, J ;

McIntyre, R .

NEW ENGLAND JOURNAL OF MEDICINE, 2000, 342 (18) :1301-1308

← 1 2 3 4 5 6 7 8 9 10 →