Pathophysiology of mechanical ventilation;PATHOPHYSIOLOGIE DER BEATMUNG

Intensivmedizin und Notfallmedizin

Volumn 33, Issue 2, 1996, Pages 101-112

  Peters, J ^a  

^a HEINRICH HEINE UNIVERSITY   (Germany)

Author keywords

airway pressure; blood gas barrier; hepatic function; lung function; mechanical ventilation; pressure controlled ventilation; renal function; side effects, complications of

Indexed keywords

EID: 0029878634     PISSN: 01753851     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (94)

1. Annat G, Viale JP, Xuan BB, Aissa OH, Benzoni D, Vincent M, Gharib C (1983) Effect of PEEP ventilation on renal function, plasma rein, aldosterone, neurophysins and urinary ADH, and prostaglandins. Anesthesiology 58:136-141
2. Aubier M, Trippenbach T, Roussos C (1981) Respiratory muscle fatigue durins cardiogenic shock. J Appl Physiol 51:499-508
3. Aubier M, Viires N, Syllie G, Mozes R, Roussos C (1982) Respiratory muscle contribution to lactic acidosis in low cardiac output. Am Rev Resp Dis 126:648-652
4. Baratz RA, Philbin DM, Patterson RW (1971) Plasma antidiuretic hormone and urinary output during continuous positive-pressure breathing in dogs. Anesthesiology 34:510-513
5. Bark H, Le Roith D, Nyska M, Glick SM (1980) Elevations in plasma ADH levels during PEEP ventilation in the doa: mechanisms involved. Am J Physiol 239:E474-481
6. Beach T, Millen E, Grenvik A (1973) Hemodynamic response to discontinuance of mechanical ventilation. Crit Care Med 1:85-90
7. Benett TD, Rothe CF (1981) Hepatic capacitance response to changes in flow and hepatic venous pressure in dogs. Am J Physiol 240:H18-28
8. Berry AJ, Geer RT, Marshall C, Wu W-H, Zburek VM, Marshall BE (1984) The effect of long-term controlled mechanical ventilation with positive end-expiratory pressure on renal function in dogs. Anesthesiology 61:406-415
9. Beydon L, Chasse M, Harf A, Lemaire F (1988) Inspiratory work of breathing during spontaneous ventilation using demand valves and continuous flow systems. Am Rev Resp Dis 138:300-304
10. Bayer J, Beckenlechner P, Messmer K (1982) The influence of PEEP ventilation on organ blood flow and peripheral oxygen delivery. Intens Care Med 8:75-80
11. Bond GC, Lightfoot B (1982) Role of renal nerves in mediating the increased renin secretion during continuous positive-pressure ventilation. Proc Soc Exp Biol Med 173:104-108
12. Bonnet F, Glaser P, Lafay M, Guesde R (1982) Changes in hepatic flow induced by continuous positive pressure ventilation in critically ill patients. Crit Care Med 10:703-705
13. Bredenberg CE, Paskanik A, Fromm D (1981) Portal hemodynamics in dogs during mechanical ventilation with positive end-expiratory pressure. Surgery 90:817-882
14. Bredenberg CE, Paskanik AM (1983) Relation of portal hemodynamics to cardiac output during mechanical ventilation with PEEP Ann Surg 198:218-222
15. Burchardi H, Sydow M (1994) Artificial ventilation: some unresolved problems. Eur J Anaesth 11:53-63
16. Cassidy SS, Eschenbacher WL, Robertson CH. Nixon JV, Blomqvist G, Johnson RL (1979) Cardiovascular effects of positive pressure ventilation in normal subjects. J Appl Physiol 47:453-461
17. Cournand A, Motley HL, Werko L, Richards DW (1948) Physiological studies of the effects of intermittent positive pressure breathing on cardiac output in man. Am J Physiol 152:162-174
18. Criley JM, Blaufuss AH, Kissel GL (1987) Cough-induced cardiac compression. JAMA 11:1246-1250
19. Dhainaut J, Devaux JY, Monsallier JF, Brunet F, Villemant D, Huyghebaert MF (1986) Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS. Chest 90:74-80
20. Fewell JE, Bond GC (1979) Renal denervation eliminates the renal response to continuous positive-pressure ventilation. Proc Soc Exp Biol Med 161:574-578
21. Fewell JE, Bond GC (1980) Role of sinoaortic baroreceptors in initiating the renal response to continuous positive-pressure ventilation in the dog Anesthesiology 52:408-413
22. Fessler HE, Brower RG, Wise R, Permutt S (1990) Positive pleural pressure decreases coronary perfusion. Am J Physiol 258:H814-820
23. Field S, Kelly SM, Macklem PT (1982) The oxygen cost of breathing in patients with cardiorespiratory disease. Am Rev Resp Dis 126:9-13
24. Fleury B, Murciano D, Talamo C, Aubier M, Pariente R, Milic-Emili J (1985) Work of breathing in patients with chronic obstructive pulmonary disease in acute respiratory failure. Am Rev Resp Dis 131:822-827
25. Fu Z, Costello ML, Tsukimoto K, Prediletto R, Elliott AR, Mathieu-Costello O, West JB (1992) High lung volume increases stress failure in pulmonary capillaries. J Appl Physiol 73:123-133
26. Fujita Y (1993) Effects of PEEP on splanchnic hemodynamics and blood volume. Acta Anaesthesiol Scand 37:427-431
27. Gall SA, Olsen CO, Reves JG, MyIntyre RW, Tyson GS, Davis JW, Rankin JS (1988) Beneficial effects of endotracheal extubation on ventricular performance. J Thorac Cardiovasc Surg 95:819-827
28. Gottschalk CW (1979) Renal nerves and sodium excretion. Ann Rev Physiol 41:229-240
29. Grace MP, Greenbaum DM (1982) Cardiac performance in response to PEEP in patients with cardiac dysfunction. Crit Care Med 10:358-360
30. Graham R, Skoog C, Oppenheimer L, Rabson J, Goldberg HS (1982) Critical closure in the canine pulmonary vasculature. Circ Res 50:566-572
31. Hall SV, Johnson EE, Hedley-Whyte J (1974) Renal hemodynamics and function with continuous positive-pressure ventilation in dogs. Anesthesiology 41:452-461
32. Harman PK, Kron IL, McLachlan HD, Freedlender AE, Nolan SP (1982) Elevated intraabdominal pressure and renal function. Ann Surg 196:594-597
33. Hemmer M, Viquerat CE, Suter PM, Vallotton MB (1980) Urinary antidiuretic hormone excretion during mechanical ventilation and weaning in man. Anesthesiology 52:395-400
34. Hernandez LA, Peevy KJ, Moise AA (1989) Chest wall restriction limits high airway pressure-induced lung injury in young rabbits. J Appl Physiol 66:2364-2368
35. Hevroy O, Reikeras O, Grundnes O, Mjos OD (1988) Cardiovascular effects of positive end-expiratory pressure during acute left ventricular failure in dogs Clin Physiol 8:287-301
36. 35a. Huemer G, Kolev N, Kurz A, Zimpfer M (1994) Influence of positive end-expiratory pressure on right and left ventricular performance assessed by doppler two-dimensional echocardiography. Chest 106:67-73
37. Hurford WE, Lynch KE, Strauss HW, Lowenstein E, Zapol WM (1991) Myocardial perfusion as assessed by Thallium-201 scintigraphy during the discontinuation of mechanical ventilation in ventilator-dependent patients. Anesthesiology 74:1007-1016
38. Järnberg PO, Dominguez de Villota E, Eklund J. Granberg PO (1978) Effects of positive end-expiratory pressure on renal function. Acta Anaesth Scand 22:508-514
39. Johnson EE, Hedley-Whyte J (1975) Continuous positive-pressure ventilation and choledochoduodenal flow resistance. J Appl Physiol 39:937-942
40. Khambatta HJ, Baratz RA (1972) IPPB, plasma ADH, and urine flow in conscious man. J Appl Physiol 33:362-364
41. Kumar A, Pontoppidan H, Baratz RA, Laver MB (1974) Inappropriate response to increased plasma ADH during mechanical ventilation in acute respiratory failure. Anesthesiology 40:215-221
42. Lemaire F, Teboul J-L, Cinotti L, Giotto G, Abrouk F, Steg G, Macquin-Mavier I, Zapol WM (1988) Acute left ventricular dysfunction during unsucessful weaning from mechanical ventilation. Anesthestiology 69:171-179
43. Lessard MR, Guerot E, Lorino H, Lemaire F, Brochard L (1994) Effects of pressure-controlled with different I:E ratios versus volume-controlled ventilation on respiratory mechanics, gas exchange, and hemodynamics in patients with adult respiratory distress syndrome. Anesthesiology 80:983-991
44. Marcy TW, Marini JJ (1991) Inverse ratio ventilation in ARDS. Rationale and implementation. Chest 100:494-504
45. Marini JJ, Rodriguez RM, Lamb V (1986) The inspiratory workload of patient-initiated mechanical ventilation. Am Rev Resp Dis 134:902-909
46. Marquez JM, Douglas ME, Downs JB, Wu W-H, Mantini EL, Kuck EJ, Calderwood HW (1979) Renal function and cardiovascular responses during positive airway pressure. Anesthesiology 50:393-398
47. Marshall BE, Berry AJ, Marshall C, Geer RT (1982) Influence of ventilation on response to fluid load in dogs: Body water and albumin distribution. Anesthesiology 57:103-110
48. Mathru M, Rao TLK, El-Etr AA, Pifam R (1982) Hemodynamic response to changes in ventilatory patterns in patients with normal and poor left ventricular reserve. Crit Care Med 10:423-426
49. Matuschak GM, Pinsky MR, Rogers RM (1987) Effects of positive end-expiratory pressure on hepatic blood flow and performance. J Appl Physiol 62:1377-1383
50. Midei MG, Maughan WL, Oikawa RY, Kass DA, Sagawa K (1987) Extracardiac pressure changes do not alter contractile function of the left ventricle. Ann Biomed Eng 15.347-359
51. Mitaka C, Nagura T, Sakanishi N, Tsunoda Y, Amaha K (1989) Two-dimensional echocardiographic evaluation of inferior vena cava, right ventricle, and left ventricle during positive-pressure ventilation with varying levels of positive end-expiratory pressure. Crit Care Med 17:205-210
52. Moss NG (1982) Renal function and renal afferent and efferent nerve activity. Am J Physiol 243:F425-433
53. Osborn JL, Holdaas H, Thames MD, Dibona GF (1983) Renal adrenoceptor mediation of antinatriuretic and renin secretion responses to low frequency renal nerve stimulation in the dog. Circ Res 53:298-305
54. Parker JC, Hernandez LA, Peevy KJ (1993) Mechanisms of ventilator-induced lung injury. Critical Care Med 21:131-143
55. Payen DM, Farge D, Beloucif S, Leviel F, de la Coussaye JE, Carli P, Wirquin V (1987) No involvement of antidiuretic hormone in acute antidiuresis. Anesthesiology 66:17-23
56. Payen DM, Brun-Buisson CJL, Carli PA, Huet Y, Leviel F, Cinotti L, Chiron B (1987) Hemodynamic, gas exchange, and hormonal consequenses of LBPP during PEEP ventilation. J Appl Physiol 62:61-70
57. Permutt S (1988) Circulatory effects of weaning from mechanical ventilation: The importance of transdiaphragmatic pressure. Editorial. Anesthesiology 69:157-160
58. Peters J, Robotham JL (1987) Hemodynamic effects of increased intrathroacic pressure. In: Vincent J-L, Suter PM (eds) Cardiopulmonary interactions in acute respiratory failure. Update in Intensive Care and Emergency Medicine, Band 2. Springer, New York, pp 120-135
59. Peters J, Kindred MK, Robotham JL (1988) Transient analysis of cardiopulmonary interactions. I. Systolic events. J Appl Physiol 64:1518-1526
60. Peters J (1988) Respiration within the cardiac cycle. In: Vincent JL (eds) Update in Intensive Care and Emergency Medicine, Band 5. Springer, Berlin, pp 202-218
61. Peters J, Fraser C, Stuart S, Baumgartner W, Robotham JL (1989) Negative intrathoracic pressure decreases independently both left ventricular inflow and outflow. Am J Physiol 257:H120-131
62. Peters J, Ihle P (1990) Mechanics of the circulation during cardiopulmonary resuscitation. Part I. Intensive Care Med 16:20-27
63. Peters J (1991) Beatmung als Konzept zur Pravention und Therapie von Myokardischämie und Pumpversagen. In: Hobbhahn J, Conzen P, Taeger K, Peter K (Hrsg) Der kardiale Risikopatient in der operativen Medizin. Anaesthesiologie und Intensivmedizin, Band 222. Springer Verlag, Berlin, S 195-207
64. Peters J (1991) Wirkungen und Neben-wirkungen der Beatmung auf Lungen-, Herz- und Kreislauffunktion. In: Kilian J, Benzer H, Ahnefeld FW (Hrsg) Grundziige der Beatmung. Klinische Anästhesiologie und Intensivtherapie, Band 39. Springer-Verlag, Berlin. S 343-363
65. Peters J (1991) Effekte der Beatmung auf Nieren- und Leberfunktion. In: Kilian J, Benzer H, Ahnefeld FW (Hrsg) Grundzüge der Beatmung. Klinische Anaesthesiologie und Intensivtherapie, Band 39. Springer Verlag, Berlin. S 364-378
66. Peters J, Ihle P (1992) Coronary and systemic vascular response to inspiratory resistive breathing. J Appl Physiol 72:905-913
67. Peters J, Ihle P (1992) ECG-synchronized thoracic vest inflations during autonomic blockade, myocardial ischemia, or cardiac arrest. J Appl Physiol 73:2263-2273
68. Peters J, Hecker B, Neuser D, Schaden W (1993) Regional blood volume distribution during positive and negative airway pressure breathing in supine humans. J Appl Physiol 75:1740-1747
69. Pinsky MR, Marquez J, Martin D, Klain M (1987) Ventricular assist by cardiac cyclespecific increases in intrathoracic pressure. Chest 91:709-715
70. Priebe HJ, Heimann JC, Hedley-White J (1980) Effects of renal and hepatic venous congestion on renal function in the presence of low and normal cardiac output in dogs. Circ Res 47:883-890
71. Priebe HJ, Heimann JC, Hedley-White J (1981) Mechanisms of renal dysfunction during positive end-expiratory pressure ventilation. J Appl Physiol 50:643-649
72. Qvist J, Pontoppidan H, Wilson RS, Lowenstein E, Laver MB (1975) Hemodynamic responses to mechanical ventilation with PEEP: the effect of hypervolemia. Anesthesiology 42:45-55
73. Räsänen J. Väsiänen IT, Heikkila J, Nikki P (1984) Acute myocardial infarction complicated by respiratory failure. The effects of mechanical ventilation. Chest 85:21-28
74. Risöe C, Hall C, Smiseth OA (1991) Splanchnic vascular capacitance and positive end-expiratory pressure in dogs. J Appl Physiol 70:818-824
75. Robotham JL, Peters J (1989) Mechanical effects of intrathoracic pressure on ventricular performance. In: Scharf SM, Cassidy SS (eds) Heart-Lung Interactions in Health and Disease. Lung Biology in Health and Disease (series editor: Lenfant C), Band 42. Marcel Dekker, New York, pp 251-281
76. Robotham JL, Peters J. Takata M (1993) Cardiorespiratory interactions. In: Bone RC (eds) Pulmonary and Critical Care Medicine. Mosby-Year Book Inc., St. Louis, Volume 2. Section 14, pp 1-25
77. Rouby JJ, Lherm T, de Lassale EM, Poete P, Bodin L, Finet JF, Callard P, Viars P (1993) Histologic aspects of pulmonary barotrauma in critically ill patients with acute respiratory failure. Intensive Care Med 19:383-389
78. Rudolph JR, Ackermann U (1984) Renal venous pressure and volume natriuresis in the rat. Can J Physiol Pharmacol 62:80-83
79. Satoh S, Watanabe J, Keitoku M, Itoh N, Maruyama Y, Takishima T (1988) Influences of pressure surrounding the heart and intracardiac pressure on the diastolic coronary pressure-flow relation in excised canine heart. Circ Res 63:788-797
80. Sellden H. Sjövall H, Wallin BG, Häggendal J, Rickstein S-E (1989) Changes in muscle sympathetic nerve activity, venous plasma catecholamines. and calf vascular resistance during mechanical ventilation with PEEP in humans. Anesthesiology 70:243-250
81. Sha M, Saito Y, Yokoyama K, Sawa T, Amaha K (1987) Effects of continuous positive-pressure ventilation on hepatic blood flow and intrahepatic oxygen delivery in dogs. Crit Care Med 15.1040-1043
82. Sladen A, Laver MB, Pontoppidan H (1968) Pulmonary complications and water retention in prolonged mechanical ventilation. N Engl J Med 279:448-453
83. Steinhoff HH (1981) Ausscheidungs-funktion und Hämodynamik der Niere bei intermittierender maschineller Beatmung (IMV) und kontrollierter maschineller Beatmung (CMV). Habilitationsschrift, Dusseldorf
84. Steinhoff HH, Falke K, Schwarzhoff W (1982) Enhanced renal function associated with intermittent mandatory ventilation in acute respiratory failure. Intensive Care Med 8:69-75
85. Stühmeier KD, Hopf HB, Langen KJ, Wüst HJ, Arndt JO (1992) Positive Atemwegsdrücke vermindern die Herzfüllung unter Epiduralanästhesie beträchtlich und begünstigen das Entstehen von Synkopen am Menschen. Anaesthesist 41 (Suppl. 1):139
86. 84a. Sydow M, Denecke T, Zinserling J, Zielmann S, Crozier TA, Burchardi H (1994) Messung des intrinsischen PEEP unter Beatmung. Anaesthesist 43:115-120
87. Sydow M, Burchardi H, Ephraim E, Zielmann S, Crozier TA (1994) Long-term effects of two different ventilatory modes on oxygenation in acute lung injury. Comparison of airway pressure release ventilation and volume-controlled inverse ratio ventilation. Am J Respir Crit Care Med 149:1550-1559
88. Thames MD, Miller BD, Abboud FM (1982) Baroreflex regulation of renal nerve activity during volume expansion. Am J Physiol 243:H810-814
89. Thames MD (1978) Contribution of cardiopulmonary baroreceptors to the control of the kidney. Fed Proc 37:1209-1213
90. Viires N, Sillye G, Aubier M, Rassidakis A, Roussos C (1983) Regional blood flow distribution in dog during induced hypotension and low cardiac output. Spontaneous breathing versus artificial ventilation. J Clin Invest 72:935-947
91. Viquerat CE, Righetti A, Suter PM (1983) Biventricular volumes and function in patients with adult respiratory distress syndrome ventilated with PEEP. Chest 83:509-514
92. West JB, Mathieu-Costello O (1993) Pulmonary blood-gas barrier: A physiological dilemma. NIPS 8:249-252
93. Whittenberger JL, McGregor M, Berglund E, Borst HG (1960) Influence of state of inflation of the lung on pulmonary vascular resistance. J Appl Physiol 15:878-882
94. Wolff G, Grädel E (1975) Haemodynamic performance and weaning from mechanical ventilation following open heart surgery. Europ J Intensive Care Med 1.99-104