Acute Right Ventricular Failure in the Medical ICU
Given the interdependence between the heart and lungs, it is of paramount importance that accurate diagnosis and treatment of right ventricular failure (RVF) are achieved in a timely fashion during critical illness. To accomplish that, it is imperative for the intensivist to be well-versed in the basics, as well as the recent advances relevant to the field. From a diagnosticperspective, this includes the use of POCUS for the diagnosis of RVF, its etiology, and assessing its severity. From a therapeutic perspective, intensive and decisive volume removal, when appropriate, and use of inotropy and pulmonary vasodilators when indicated, as well as the use of the various temporary mechanical circulatory devices as a temporizing measure.
