The management of postoperative RV dysfunction should include which of the following?

Management of postoperative right ventricular (RV) dysfunction often focuses on optimizing hemodynamics, ensuring adequate preload, and reducing afterload to improve cardiac output and reduce the workload on the heart. In this context, volume infusion can help enhance venous return and improve preload, which is particularly important when the right ventricle is struggling to maintain adequate output.

Pulmonary vasodilators are also utilized in the management of RV dysfunction. They help decrease the afterload that the right ventricle must overcome. Conditions like elevation in pulmonary vascular resistance can exacerbate RV strain, so using pulmonary vasodilators can improve flow and reduce pressures, thereby alleviating symptoms and improving cardiac function.

The combination of volume infusion and pulmonary vasodilators effectively addresses the unique challenges posed by RV dysfunction, such as loading conditions and afterload, thereby offering a targeted approach to management that aligns with the physiological needs of the heart in this postoperative setting.