A pathophysiological approach towards right ventricular function and failure.
Eur J Anaesthesiol
; 30(7): 386-94, 2013 Jul.
Article
em En
| MEDLINE
| ID: mdl-23571479
ABSTRACT
The scope of this review is to provide a pathophysiological summary of perioperative right ventricular function and failure. In recent decades, the importance of right ventricular function in the perioperative period has been established. However, much of our current knowledge on the management of this clinical entity is based on extrapolation of results from left ventricular research, although biventricular physiology is known to be markedly different in many aspects. Here, on the basis of a thorough literature search, we review theoretical as well as practical aspects of perioperative right ventricular failure. After underlining the importance of this topic, we review basic right ventricular anatomy and physiology, with an emphasis on the role of ventricular interaction. Next, potential causes of perioperative right ventricular failure are discussed. The emphasis of this review is on the perioperative anaesthetic considerations, ranging from preoperative assessment through intraoperative monitoring to specific contemporary therapeutic options of perioperative right ventricular failure.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Função Ventricular Direita
/
Disfunção Ventricular Direita
Limite:
Humans
Idioma:
En
Revista:
Eur J Anaesthesiol
Assunto da revista:
ANESTESIOLOGIA
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Bélgica