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V. 1.02 01 – 2013 Emergency Quick Reference Guide 18b Right ventricular Shock Hypotensive ? Perform Echo/ TEE in intubated patient Y Give O2 Decrease PEEP pRBC Hypovolemic? Fluid Responsive? e.g. CVP < 12 – 16? Y Y Hct < 27 – 32? N N CVP > 20 SVO2 or ScvO2 < 65% Plasma Expanders R/O tamponade R/O tension PTX Known or Suspected increased PVR? Y Give O2 Consider Milrinone ± Vasopressin, iNO Decreased coronary perfusion? Y Phenylephrine Norepinephrine Vasopressin Note: these medications may increase PVR Diminished RV contractility? Y Dobutamine Milrinone Epinephrine TEE = Trans esophageal echo CVP = central venous pressure pRBC = packed red blood cells SVO2 = systemic oxygen consumption ScvO2 = central venous oxygen saturation PEEP = positive end-expiratory pressure iNO = inhaled Nitric oxyde PVR: pulmonary vascular resistance Moitra V.K. et al: Can J Anesth/J Can Anesth (2012) 59:586–603 Can J Anesth/J Can Anesth: „Open Access This article is distributed under the terms of the Creative Commons Attribution License which permits any use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.“
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