Key result
Right ventricular failure was observed in 42% of septic shock patients and was negatively associated with response to a fluid challenge despite significant pulse pressure variation.
Why the study?
The incidence of right ventricular failure in septic shock is not well known, and TAPSE may have limited diagnostic value.
Observational (n=282)
Yes
In mechanically ventilated patients with septic shock, RV failure is common and limits fluid responsiveness despite significant pulse pressure variations, and TAPSE is an inadequate marker for detecting it.
Answers are grounded in this paper and cite their sources.
RV failure may limit fluid responsiveness despite PPV in septic shock; leaves open need for prospective validation of RV assessment beyond TAPSE.
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Vieillard‐Baron et al. (2020) conducted an observational in Septic shock (n=282). Right ventricular failure was observed in 42% of septic shock patients and was negatively associated with response to a fluid challenge despite significant pulse pressure variation.
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