SCCM Resource Library-Medical Treatments That Should Be Considered in Patients With Right Ventricular Failure

Medical Treatments That Should Be Considered in Patients With Right Ventricular Failure

Video Transcription

Video Summary

This video transcript discusses medical treatments for patients with RV (right ventricle) failure on VV (veno-venous) ECMO (extracorporeal membrane oxygenation). The speaker discusses various pathologies that can persist even with maximal support on ECMO, such as hypoxic pulmonary-vasoconstriction, atelectasis, and pulmonary emboli. They also explore potential strategies like the use of nitric oxide to dilate pulmonary blood vessels, THAM as a non-bicarbonate buffering agent, careful selection of vasoconstrictors to rescue systemic pressures without increasing right ventricular afterload, and the use of specific inotropes like milrinone to improve RV systolic performance. Treatment should be individualized based on the underlying cause of RV failure.

Asset Subtitle

Cardiovascular, 2023

Asset Caption

Type: one-hour concurrent | Right Ventricular Failure in Venovenous ECMO Patients (SessionID 1198938)

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Membership Level Professional

Membership Level Select

Tag Ventricular Function

Year 2023

Keywords

RV failure

VV ECMO

pulmonary-vasoconstriction

pulmonary emboli

milrinone

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