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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= abd. organ perfusion + congestion
= CNS perfusion
CI 1.5, CVP 23, MAP 60
Vital Organ Perfusion = 37 mmHg
CI 1.5, CVP 8, MAP 60
Vital Organ Perfusion= 52 mmHg