Cardiothoracic & vascular anesthesia
Reduction in Postoperative Right Ventricular Echocardiographic Indices Predicts Longer Duration of Vasoactive Support After Cardiac Surgery
Authors' conclusion
Patients with post-CPB TAPSE <17 mmHg require a longer duration of inotropic support in the ICU. From all measured RV echocardiographic indices, post-CPB FAC is an independent predictor of vasopressor and inotropic support.
Study context
- Population
- Adults undergoing elective cardiac surgery with perioperative TEE and pulmonary artery catheter, quaternary care hospital, Canada83 CABG
- Participants
- 122 adults
- Outcome
- Duration of vasopressor and inotropic support in the ICU
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
Duration of inotropic support in the ICU
- Post-CPB TAPSE below 17 mm and post-CPB fractional area change (FAC) below 35%: longer duration of inotropic support in the intensive care unit (ICU)
Observational data: associations, not effects.
Further findings
Vasoactive support and right ventricular (RV) indices after CPB · End of procedure / post-CPB
- Supported with a vasopressor or inotrope at end of procedure
- 94.3%
- Reduction in post-CPB TAPSE (105 patients)
- 88.2%
- Reduction in FAC (63 patients)
- 56.8%
Original publication
Reduction in Postoperative Right Ventricular Echocardiographic Indices Predicts Longer Duration of Vasoactive Support After Cardiac Surgery. J Cardiothorac Vasc Anesth. Published 29 February 2024. doi:10.
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