Management of Decompensated Right Ventricular Failure in the Intensive Care Unit

  • Rana Lee Adawi Awdish
  • Michael P. MendezEmail author


Acute on chronic decompensation of right heart failure can present many challenges to the critical care practitioner that require an understanding of the effect of right heart failure on resuscitation endpoints and hemodynamic monitoring. In this chapter, we review principles of management of decompensated right heart failure using an illustrative case followed by a review of the evidence regarding monitoring, pharmacotherapy, and supportive care of these patients.


Pulmonary hypertension Right ventricle Right ventricular failure Pulmonary Pulmonary vasculature Hemodynamics Pulmonary vasodilators RV failure RV decompensation Pulmonary artery pressure 

Supplementary material

Video 33.1

Parasternal short axis view demonstrating RV chamber dilation and D-shaped septum. (WMV 606 kb)

Video 33.2

View of the inferior vena cava demonstrating no collapse (WMV 843 kb)


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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of Pulmonary and Critical Care MedicineHenry Ford Health SystemDetroitUSA
  2. 2.Division of Pulmonary and Critical Care MedicineUniversity of MichiganAnn ArborUSA

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