Right ventricular dysfunction during acute respiratory distress syndrome and veno-venous extracorporeal membrane oxygenation

被引：73
作者：
Bunge, Jeroen J. H. [1 ]
Caliskan, Kadir [2 ]
Gommers, Diederik [1 ]
Miranda, Dinis Reis [1 ]
机构：
[1] Erasmus MC, Univ Med Ctr, Dept Intens Care, Rotterdam, Netherlands
[2] Erasmus MC, Univ Med Ctr, Dept Cardiol, Rotterdam, Netherlands
来源：
JOURNAL OF THORACIC DISEASE | 2018年 / 10卷
关键词：
Acute respiratory distress syndrome (ARDS); human; extracorporeal membrane oxygenation (ECMO); veno-venous extracorporeal membrane oxygenation (VV ECMO); heart failure; right sided; cor pulmonale; PULMONARY VASCULAR DYSFUNCTION; INHALED NITRIC-OXIDE; ACUTE COR-PULMONALE; PROTECTIVE VENTILATION; EUROPEAN-SOCIETY; SEPTIC SHOCK; LUNG INJURY; PRESSURE; FAILURE; HEART;
D O I：
10.21037/jtd.2017.10.75
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
Severe ARDS can be complicated by right ventricular (RV) failure. The etiology of RV failure in ARDS is multifactorial. Vascular alterations, hypoxia, hypercapnia and effects of mechanical ventilation may play a role. Echocardiography has an important role in diagnosing RV failure in ARDS patients. Once extracorporeal membrane oxygenation (ECMO) is indicated in these patients, the right ECMO modus needs to be chosen. In this review, the etiology, diagnosis and management of RV failure in ARDS will be briefly outlined. The beneficial effect of veno-venous (VV) ECMO on RV function in these patients will be illustrated. Based on this, we will give recommendations regarding choice of ECMO modus and provide an algorithm for management of RV failure in VV ECMO supported patients.
引用
收藏
页码：S674 / S682
页数：9
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