Pulmonary Hypertensive Crisis/Acute RV Failure — free guideline decision tool
This tool outlines ICU management of pulmonary hypertensive crisis and acute right ventricular failure: optimizing RV preload and afterload, lowering pulmonary vascular resistance, and maintaining systemic perfusion.
Open guideline tool →Guideline-based
Implements the decision logic from published clinical guidelines.
Runs in your browser
No installation. Enter the patient's values and get a guideline recommendation instantly.
Data stays local
Nothing is uploaded. Results are for licensed clinicians only.
Common questions
What does Pulmonary Hypertensive Crisis/Acute RV Failure do?
Use when a PH patient deteriorates with hypotension, hypoxia/hypercapnia, tachyarrhythmia, or impending intubation, to organize support around preserving the right ventricle and keeping SVR above PVR.
How is the result calculated?
Management by problem: hypotension (norepinephrine + dobutamine/milrinone, inhaled NO/epoprostenol); hypoxia/hypercapnia (correct triggers, lung-protective ventilation); arrhythmia (restore sinus rhythm, AV synchrony); peri-intubation (pre-start vasopressors, minimal sedation).
Is this a substitute for clinical judgement?
No. All results are decision-support only, for licensed clinicians. They must be individualized to the whole patient and the latest guideline version.
Run Pulmonary Hypertensive Crisis/Acute RV Failure now
This tool outlines ICU management of pulmonary hypertensive crisis and acute right ventricular failure: optimizing RV preload and afterload, lowering pulmonary vascular resistance, and maintaining systemic perfusion.
Open guideline tool →For licensed clinicians. Not a substitute for clinical judgement.