Key result
Agents that increase right ventricular perfusion and contractility may be the treatment of choice to increase cardiac output when right ventricular afterload is elevated in acute respiratory failure.
Population
Patients with right ventricular (RV) dysfunction in acute respiratory failure (ARF)
Design
Review
Authors
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Hypothesis-generating for preferring RV perfusion/contractility agents over volume loading in respiratory failure; prospective trials needed.
In acute respiratory failure with RV dysfunction, volume expansion may worsen hemodynamics, whereas agents improving RV perfusion and contractility are preferred.
Prewitt et al. (1983) conducted a review in Right ventricular dysfunction in acute respiratory failure. Agents increasing right ventricular perfusion and contractility was evaluated. Agents that increase right ventricular perfusion and contractility may be the treatment of choice to increase cardiac output when right ventricular afterload is elevated in acute respiratory failure.
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