Optimum End-Expiratory Airway Pressure in Patients with Acute Pulmonary Failure

New England Journal of Medicine

Volumn 292, Issue 6, 1975, Pages 284-289

  Suter, Peter M ^a   Fairley, H Barrie ^a   Isenberg, Michael D ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE; DIAGNOSTIC AGENT; HELIUM; OXYGEN;

ADULT; AGED; AIRWAY RESISTANCE; ARTICLE; BLOOD; BREATHING; FEMALE; HEART OUTPUT; HUMAN; LUNG; LUNG COMPLIANCE; LUNG EMPHYSEMA; MALE; MIDDLE AGED; PATHOPHYSIOLOGY; PH; POSITIVE END EXPIRATORY PRESSURE; PRESSURE; RESPIRATORY FAILURE; SPIROMETRY;

ADULT; AGED; AIRWAY RESISTANCE; CARBON DIOXIDE; CARDIAC OUTPUT; FEMALE; HELIUM; HUMANS; HYDROGEN-ION CONCENTRATION; LUNG; LUNG COMPLIANCE; MALE; MIDDLE AGED; OXYGEN; POSITIVE-PRESSURE RESPIRATION; PRESSURE; PULMONARY EMPHYSEMA; RESPIRATION; RESPIRATORY INSUFFICIENCY; SPIROMETRY;

EID: 0016844194     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJM197502062920604     Document Type: Article

References (31)

1. Ramachandran PR, Fairley HB: Changes in functional residual capacity during respiratory failure. Can Anaesth Soc J 17: 359–369, 1970
2. Kumar A, Falke KJ, Geffin B, et al: Continuous positive-pressure ventilation in acute respiratory failure: effects on hemodynamics and lung function. N Engl J Med 283: 1430–1436, 1970
3. Falke KJ, Pontoppidan H, Kumar A, et al: Ventilation with end-expiratory pressure in acute lung disease. J Clin Invest 51: 2315–2323, 1972
4. Pontoppidan H, Geffin B, Lowenstein E: Acute respiratory failure in the adult. N Engl J Med 287: 690–698, 743–752, 799–806, 1972
5. Hedley-Whyte J, Pontoppidan H, Morris MJ: The response of patients with respiratory failure and cardiopulmonary disease to different levels of constant volume ventilation. J Clin Invest 45: 1543–1554, 1966
6. Ashbaugh DG, Bigelow DB, Petty TL, et al: Acute respiratory distress in adults. Lancet 2: 319–323, 1967
7. McIntyre RW, Laws AK, Ramachandran PR: Positive expiratory pressure plateau; improved gas exchange during mechanical ventilation. Can Anaesth Soc J 16: 477–486, 1969
8. Levine M, Gilbert R, Auchincloss JH Jr: A comparison of the effects of sighs, large tidal volumes, and positive end expiratory pressure in assisted ventilation. Scand J Respir Dis 53: 101–108, 1972
9. Uzawa T, Asbaugh DG: Continuous positive-pressure breathing in acute hemorrhagic pulmonary edema. J Appl Physiol 26: 427–432, 1969
10. Lutch JS, Murray JF: Continuous positive-pressure ventilation: effects on systemic oxygen transport and tissue oxygenation. Ann Intern Med 76: 193–202, 1972
11. King EG, Jones RL, Patakas DA: Evaluation of positive end-expiratory pressure therapy in the adult respiratory distress syndrome. Can Anaesth Soc J 20: 546–558, 1973
12. Visick WD, Fairley HB, Hickey RF: The effects of tidal volume and end-expiratory pressure on pulmonary gas exchange during anesthesia. Anesthesiology 39: 285–290, 1973
13. Meneely GR, Kaltreider NL: The volume of the lung determined by helium dilution: description of the method and comparison with other procedures. J Clin Invest 28: 129–138, 1949
14. Needham CD, Rogan MC, McDonald I: Normal standards for lung volumes, intrapulmonary gas-mixing, and maximum breathing capacity. Thorax 9: 313–325, 1954
15. Whitfield AGW, Waterhouse JAH, Arnott WM: Total lung volume and its subdivisions: study in physiological norms: basic data. Br J Soc Med 4: 1–25, 1950
16. Kelman GR, Nunn JF: Nomograms for correction of blood Po2, Pco2, pH, and base excess for time and temperature. J Appl Physiol 21: 1484–1490, 1966
17. Riley RL, Lilienthal JL Jr, Proemmel DD, et al: On the determination of the physiologically effective pressures of oxygen and carbon dioxide in alveolar air. Am J Physiol 147: 191–198, 1946
18. Finley TN, Lenfant C, Haab P, et al: Venous admixture in the pulmonary circulation of anesthetized dogs. J Appl Physiol 15: 418–424, 1960
19. Enghoff H: Volumen inefficax. Bemerkungen zur Frage des schådlichen Raumes. Upsala Lak Forhandl 44: 191–218, 1938
20. Fowler WS: Lung function studies. II. The respiratory dead-space. Am J Physiol 154: 405–416, 1948
21. Kuwabara S, Duncalf D: Effect of anatomic shunt on physiologic deadspace-to-tidal volume ratio: a new equation. Anesthesiology 31: 575–577, 1969
22. Rattenborg C: Basic mechanics of artificial ventilation, Management of Life Threatening Poliomyelitis. Edited by HCA Lassen. London, E and S Livingstone, Ltd, 1956, p 23
23. Comroe JH Jr, Fowler WS: Lung function studies. VI. Detection of uneven alveolar ventilation during a single breath of oxygen. Am J Med 10: 408–413, 1951
24. Comroe JH Jr, Forster RE, Dubois AB, et al: The Lung. Second edition. Chicago, Year Book Medical Publishers, 1962, pp 65–66
25. Snedecor GW, Cochran WG: Statistical Methods. Sixth edition. Ames, Iowa State University Press, 1967, pp 32–168
26. Lenfant C: Revival of an old battle: intermittent vs. continuous positive-pressure breathing. N Engl J Med 283: 1463–1464, 1970
27. Asbaugh DG, Petty TL: Positive end-expiratory pressure: physiology, indications, and contraindications. J Thorac Cardiovasc Surg 65: 165–170, 1973
28. Agostini E, Mead J: Statics of the respiratory system, Handbook of Physiology, Section 3: Respiration. Vol 1. Edited by WO Fenn, H Rahn. Washington DC, American Physiological Society, 1964, pp 387–409
29. Young SL, Tierney DF, Clements JA: Mechanism of compliance change in excised rat lungs at low transpulmonary pressure. J Appl Physiol 29: 780–785, 1970
30. Eckenhoff, JE, Enderby GEH, Larson A, et al: Pulmonary gas exchange during deliberate hypotension. Br J Anaesth 35: 750–759, 1963
31. Shepard RH, Campbell EJM, Martin HB, et al: Factors affecting the pulmonary dead-space as determined by single breath analysis. J Appl Physiol 11: 241–244, 1957