To establish the experts consensus on the right heart function management in critically ill patients. The panel of consensus was composed of 30 experts in critical care medicine who are all members of Critical Hemodynamic Therapy Collaboration Group (CHTC Group). Each statement was assessed based on the GRADE(Grading of Recommendations Assessment, Development, and Evaluation) principle. Then the Delphi method was adopted by 52 experts to reassess all the statements. (1) Right heart function is prone to be affected in critically illness, which will result in a auto-exaggerated vicious cycle. (2) Right heart function management is a key step of the hemodynamic therapy in critically ill patients. (3) Fluid resuscitation means the process of fluid therapy through rapid adjustment of intravascular volume aiming to improve tissue perfusion. Reversed fluid resuscitation means reducing volume. (4) The right ventricle afterload should be taken into consideration when using stroke volume variation (SVV) or pulse pres
作者:重症血流动力学治疗协作组(CHTC Group);王小亭;刘大为;张宏民;隆云;管向东;邱海波;于凯江;严静;赵华;汤耀卿;丁欣;马晓春;杜微;康焰;汤铂;艾宇航;何怀武;陈德昌;陈焕;柴文昭;周翔;崔娜;王郝;芮曦;胡振杰;李建国;许媛;杨毅;欧阳彬;林洪远;黎毅敏;万献尧;杨荣利;秦英智;晁彦公;谢志毅;孙仁华;何振扬;王迪芬;黄青青;蒋东坡;曹相原;于荣国;王雪;陈秀凯;吴健峰;张丽娜;尹万红;刘丽霞;李素玮;陈祖君;罗哲
来源:中华内科杂志 2017 年 56卷 12期