Management of Right Ventricular Failure in Pulmonary Embolism

This article reviews the pathophysiology behind acute right ventricular failure and strategies for managing right ventricular failure in acute PE. Immediate clot reduction via systemic thrombolytics, catheter procedures, or surgery is always advocated for unstable patients. While waiting to mobilize these resources, it often becomes necessary to start resuscitation and vasoactive medications. Clinicians should carefully assess volume status and judiciously resuscitate, avoiding volume overloading the acutely dilated right ventricle. Right ventricular assist devices may have an expanding role in the future.
Source: Critical Care Clinics - Category: Intensive Care Authors: Source Type: research