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I would like to introduce Logan Logan kazar kisara Chris Arak thank you from ochsner thats right okay thank you so much thank you yeah all right so yeah the topic is RV function kind of an outline of what well go through well talk about why the RV can be a tricky thing to assess and then well go through some of the variables we use to assess the RV including both the human dynamic and echo variables and then finally a couple slides on treating RV failure but first before we get into that Im kind of obliged to pdocHub to you the choir just briefly on the fact that the RV is important and certainly you shouldnt need any convincing of that because youre here but theres a wealth of evidence within the literature that basically comes to the same conclusion which is that when the RV does poorly so does the patient so it behooves us to know how to assess it and how to treat it but that can be a tricky thing to do and I think the main way that the RV can be tricky to assess is its got