Assessing Right Ventricular Function in the Perioperative Setting, Part II: What About Catheters?

Area of Science:

• Cardiology
• Anesthesiology
• Critical Care Medicine

Background:

• Right ventricular (RV) function assessment is vital in perioperative settings.
• Traditional methods may not fully capture RV dynamics.
• Advanced monitoring is needed for comprehensive evaluation.

Purpose of the Study:

• To review current and emerging modalities for RV function assessment.
• To discuss the integration of different techniques for optimal perioperative monitoring.
• To highlight the benefits of tailored monitoring selection.

Main Methods:

• Exploration of 2-dimensional echocardiography-based evaluations.
• Review of pressure-based and flow-based assessment methods.
• Overview of 3-dimensional echocardiography and its potential for pressure-volume loops.

Main Results:

• Various non-2D echocardiography modalities for RV assessment are discussed.
• 3D echocardiography shows potential for constructing clinical pressure-volume loops.
• Integrating multiple modalities offers superior estimation of RV function.

Conclusions:

• Tailored selection of RV monitoring modalities benefits perioperative physicians.
• Comprehensive RV assessment requires integrating diverse monitoring techniques.
• Optimized RV function monitoring improves perioperative patient outcomes.