A definite hat tip to my buddy Matt Siuba (zentensivist.com) and his colleagues for this great review on the management of right ventricular (RV) dysfunction in patients with ARDS. I plan on elaborating further on this paper but the bottom line is that we need more data. For now, head down to the citations to download a copy of the article for yourself. I’ll get around to completing this one day. I know, I say that about almost everything on this page.

Medications (IV or inhaled) to treat RV Dysfunction in ARDS

Milrinone
Levosimendan
Flolan (epoprostenol)
Nitric Oxide
Here’s an article I wrote about using Flolan (Epoprostenol) vs. Nitric Oxide in Cardiac Surgery.

Machines used to Treat RV Dysfunction in ARDS

Impella RP, Impella Flex
ProtekDuo
ECMO

Citations

Ganeriwal S, Alves Dos Anjos G, Schleicher M, Hockstein MA, Tonelli AR, Duggal A, Siuba MT. Right ventricle-specific therapies in acute respiratory distress syndrome: a scoping review. Crit Care. 2023 Mar 12;27(1):104. doi: 10.1186/s13054-023-04395-9. PMID: 36907888; PMCID: PMC10008150.
Link to Article
Link to FULL FREE PDF

Ymeraj S, Attou R, Redant S. Right ventricule-specific therapies in ARDS: other vasodilating agents to be considered. Crit Care. 2023 Apr 3;27(1):133. doi: 10.1186/s13054-023-04419-4. PMID: 37013621.
Link to Article
Link to FULL FREE PDF

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