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Why does RV failure have a poor outcome? Time is critical

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

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  1. 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

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