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Why does RV failure have a poor outcome? Time is critical. CO, CVP, BP, P IVC , ↑P SVC = abd. organ perfusion + congestion = CNS perfusion Early Renal, hepatic failure Edema, ischemic bowel Translocation, ↓SVR Ascites, pl. effusions: PVR
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Why does RV failure have a poor outcome? Time is critical • CO, CVP, BP, PIVC, ↑PSVC = abd. organ perfusion + congestion = CNS perfusion • Early • Renal, hepatic failure • Edema, ischemic bowel • Translocation, ↓SVR • Ascites, pl. effusions: PVR • Intervening early prevents MOSF RV shock CI 1.5, CVP 23, MAP 60 Vital Organ Perfusion = 37 mmHg LV shock CI 1.5, CVP 8, MAP 60 Vital Organ Perfusion= 52 mmHg