Optimizing Mechanical Ventilation in Right Heart Failure.
A, P. & GA, C.P. (2026). Optimizing Mechanical Ventilation in Right Heart Failure.. Clinics in chest medicine. https://doi.org/10.1016/j.ccm.2026.04.012
A P, GA CP. Optimizing Mechanical Ventilation in Right Heart Failure.. Clinics in chest medicine. 2026; doi: 10.1016/j.ccm.2026.04.012
A P, GA CP. Optimizing Mechanical Ventilation in Right Heart Failure.[J]. Clinics in chest medicine. 2026. DOI: 10.1016/j.ccm.2026.04.012.
@article{a2026,
author = {Phillips A and Cortes-Puentes GA},
title = {Optimizing Mechanical Ventilation in Right Heart Failure.},
journal = {Clinics in chest medicine},
year = {2026},
doi = {10.1016/j.ccm.2026.04.012},
note = {PMID: 42486566},
}
TY - JOUR AU - Phillips A AU - Cortes-Puentes GA TI - Optimizing Mechanical Ventilation in Right Heart Failure. T2 - Clinics in chest medicine PY - 2026 DO - 10.1016/j.ccm.2026.04.012 AN - PMID:42486566 ER -
In patients with acute respiratory distress syndrome, the prevalence of right ventricular dysfunction (RVD) has been documented as high as 60%, though more recent estimates suggest a lower incidence of 20% to 30%, potentially reflecting the broader implementation of lung-protective ventilation strategies. The objective of this article is to review the physiologic principles of mechanical ventilation considering the unique challenges posed by RVD, and to offer a practical bedside approach to optimizing ventilatory support in this patient population. Importantly, mechanical ventilation strategies should aim to protect both the lungs and the heart-in all critically ill patients requiring ventilatory support.