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Theoretical Consideration Regarding Static Loading of the Right Ventricle During Resuscitation.

Is it possible that rapid volume infusion during resuscitation efforts may directly cause right heart failure? Many clinicians believe so. The Belmont® Rapid Infuser (Belmont Instrument Corporation, Billerica, MA) can infuse fluids at a rate of up to 750 mL min-1 and is often run continuously for extended periods of time. This rapid increase in volume and, therefore, venous return, could potentially cause acute right heart failure if the heart is unable to accommodate this additional volume in trauma resuscitation efforts.