High Versus Normal Blood Pressure Targets in Relation to Right Ventricular Dysfunction After Cardiac Surgery
- Resource Type
- Authors
- Jayant S. Jainandunsing; E. Christiaan Boerma; Fellery de Lange; Inge T. Bootsma; Thomas Scheeren
- Source
- Journal of cardiothoracic and vascular anesthesia, 35(10), 2980-2990. W B SAUNDERS CO-ELSEVIER INC
- Subject
- Mean arterial pressure
medicine.medical_specialty
VOLUME OVERLOAD
medicine.medical_treatment
Ventricular Dysfunction, Right
Population
PATHOPHYSIOLOGY
Blood Pressure
030204 cardiovascular system & hematology
VASOPRESSORS
law.invention
03 medical and health sciences
0302 clinical medicine
Randomized controlled trial
030202 anesthesiology
law
Internal medicine
MANAGEMENT
Medicine
Humans
Cardiac Surgical Procedures
education
pulmonary artery catheter
ARTERY
education.field_of_study
Ejection fraction
business.industry
transesophageal echocardiography
STATEMENT
SEPTIC SHOCK
Pulmonary artery catheter
Stroke Volume
bloodpressure targets
Right ventricular dysfunction
Cardiac surgery
OUTPUT
Anesthesiology and Pain Medicine
Blood pressure
NOREPINEPHRINE
Cardiology
Ventricular Function, Right
right ventricular dysfunction
HEART-FAILURE
Cardiology and Cardiovascular Medicine
business
cardiac surgery
- Language
- English
- ISSN
- 1053-0770
OBJECTIVE Management of right ventricular (RV) dysfunction is challenging. Current practice predominantly is based on data from experimental and small uncontrolled studies and includes augmentation of blood pressure. However, whether such intervention is effective in the clinical setting of cardiac surgery is unknown. DESIGN Randomized controlled trial. SETTING Single-center study in a tertiary teaching hospital. PARTICIPANTS The study comprised 78 patients equipped with a pulmonary artery catheter (PAC), classified according to PAC-derived RV ejection fraction (RVEF); 44 patients had an RVEF of