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Management and treatment in hospital |
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Management and treatment in hospital
Stages of Acute Heart Failure Management
NOTE: Ensure that discussions regarding escalation measures with ITU/renal/family and ceiling of care are timely and appropriate
Criteria for critical care admission
- Need for intubation (or already intubated).
- Poor response to high FiO2 or to NIV.
- Signs/symptoms/markers of hypoperfusion: cold extremities, altered mentation, confusion, oliguria, lactate >2 mmoUL
- Persistent hypotension (SBP <90 mmHg).
- Requirement for two or more vasoactive agents to maintain blood pressure.
- Requirement for invasive cardiac output monitoring.
- Requirement for MCS.
- Heart rate <40 b.p.m. or persistent life-threatening arrhythmia.
- Any associated non-cardiac condition requiring critical care admission (e.g. continuous venovenous hemodiafiltration and ultrafltration).
- Cardiac or respiratory arrest
- Progressive worsening of altered mental status
- Progressive worsening of respiratory failure with hypoxaemia [Pa02 <60 mmHg (8.0 kPa)], hypercapnia [PaCO2 >50 mmHg (6.65 kPa)] and acidosis (pH<7.35), despite NIV
- Need of airway protection
- Persistent haemodynamic instability
- Agitation or intolerance to NIV with progressive respiratory failure
Contents:
- Detection
- Diagnosis
- Acute Heart Failure: Diagnosis and management
- Chronic heart failure: Management and treatment
- Discharge and follow-up
- Palliative and psychological care
- Digital support
In this section
- Assessment in primary care
- Investigations in primary care
- Management in primary care
- Assessments in hospital
- Investigations in hospital
- Management in hospital
About this pathway
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(c) British Society for Heart Failure, 2022-
