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Highlights the importance of a multidisciplinary, pathophysiology-based approach for managing advanced right ventricular failure in patients with pulmonary arterial hypertension in the ICU.
Most patients with pulmonary arterial hypertension succumb to their disease in the ICU; however, limited evidence-based information exists to guide treatment in those that present with advanced right ventricular failure. Critical care physicians should be aware of the complexities of the treatment of patients with pulmonary arterial hypertension and should develop a strategy for their care. Current management is based on the pathophysiology of the disease and involves a multidisciplinary team supported by institutional polices directed at optimizing patient safety.
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Bauer et al. (2014) studied this question.
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