Right ventricular failure in septic shock: characterization, incidence and impact on fluid responsiveness

  • PDF / 978,492 Bytes
  • 8 Pages / 595.276 x 790.866 pts Page_size
  • 87 Downloads / 164 Views

DOWNLOAD

REPORT


en Access

RESEARCH

Right ventricular failure in septic shock: characterization, incidence and impact on fluid responsiveness Antoine Vieillard‑Baron1,2,3*, Amélie Prigent1,2, Xavier Repessé1, Marine Goudelin1, Gwenaël Prat4, Bruno Evrard5, Cyril Charron1, Philippe Vignon5,6,7 and Guillaume Geri1,2,3 

Abstract  Objective:  Incidence of right ventricular (RV) failure in septic shock patients is not well known, and tricuspid annular plane systolic excursion (TAPSE) could be of limited value. We report the incidence of RV failure in patients with septic shock, its potential impact on the response to fluids, as well as TAPSE values. Design:  Ancillary study of the HEMOPRED prospective multicenter study includes patients under mechanical ventila‑ tion with circulatory failure. Setting:  This is a multicenter intensive care unit study Patients:  Two hundred and eighty-two patients with septic shock were analyzed. Patients were classified in three groups based on central venous pressure (CVP) and RV size (RV/LV end-diastolic area, EDA). In group 1, patients had no RV dilatation (RV/LVEDA