Effects of rapid permissive hypercapnia on hemodynamics, gas exchange, and oxygen transport and consumption during mechanical ventilation for the acute respiratory distress syndrome

Intensive Care Medicine

Volumn 22, Issue 3, 1996, Pages 182-191

  Thorens, J B ^a   Jolliet, P ^a   Ritz, M ^a   Chevrolet, J C ^a  

^a UNIVERSITY HOSPITAL   (Switzerland)

Author keywords

Alveolar hypoventilation; ARDS; DO2 VO2 relationship; Hemoglobin dissociation curve; Mechanical ventilation; Oxygen consumption; Oxygen transport; Permissive hypercapnia

Indexed keywords

LACTIC ACID;

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; AGED; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN TENSION; ARTERIAL PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; BLOOD PH; CLINICAL TRIAL; FEMALE; GAS EXCHANGE; HEART FUNCTION; HEMODYNAMICS; HUMAN; HYPERCAPNIA; HYPOXEMIA; LACTATE BLOOD LEVEL; LUNG ARTERY PRESSURE; LUNG MINUTE VOLUME; LUNG VASCULAR RESISTANCE; MALE; OXYGEN CONSUMPTION; OXYGEN SATURATION; OXYGEN TRANSPORT; SYSTEMIC VASCULAR RESISTANCE; TIDAL VOLUME;

ADULT; AGED; AGED, 80 AND OVER; BLOOD GAS ANALYSIS; FEMALE; HEMODYNAMIC PROCESSES; HUMANS; HYPERCAPNIA; MALE; MIDDLE AGED; OXYGEN CONSUMPTION; PROSPECTIVE STUDIES; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT;

EID: 0029882803     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF01712235     Document Type: Article

References (40)

1. Marini JJ, Kelsen SG (1992) Retargeting ventilatory objectives in adult respiratory distress syndrome. Am Rev Respir Dis 146:2-3
2. Slutsky AS (1994) Consensus conference on mechanical ventilation, January 28-30, 1993, at Northbrook, Illinois, USA. Part I. Intensive Care Med 20:64-79
3. Darioli R, Perret C (1984) Mechanical controlled hypoventilation in status asthmaticus. Am Rev Respir Dis 129: 385-387
4. Hickling KG, Henderson SJ, Jackson R (1990) Low mortality associated with low volume pressure limited ventilation with permissive hypercapnia in severe adult respiratory distress syndrome. Intensive Care Med 16:372-377
5. Potkin RT, Swenson ER (1992) Resuscitation from severe acute hypercapnia. Chest 102:1742-1745
6. Nunn JF (1993) Oxygen. In: Nunn J (ed) Applied respiratory physiology. Butterworth-Heinemann, London Boston, pp 247-305
7. Walley KR, Lewis TH, Wood LDH (1990) Acute respiratory acidosis decreases left ventricular contractility but increases cardiac output in dogs. Circ Res 67:628-635
8. Brofman JD, Leff AR, Munoz NM, Kirchhof C, White SR (1990) Sympathetic secretory response to hypercapnic acidosis in swine. J Appl Physiol 69:710-717
9. Bernard GR, Artigas A, Brigham KL, Carlet J, Falke K, Hudson L, Lamy M, LeGall JR, Morris A, Spragg R (1994) The American-European consensus conference on ARDS. Am J Respir Crit Care Med 149:818-824
10. ACCP/SCCM (1992) American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference: definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Crit Care Med 20:864-874
11. Shapiro BA, Harrison RA, Cane RD, Kozlowski-Templin R (1989) Clinical approach to interpretation of blood gases. In: Shapiro B (ed) Clinical application of blood gases. Year Book Medical Publishers, Chicago London Boca Raton, pp 77-98
12. 2. Ann NY Acad Sci 148:115-132
13. 2. J Appl Physiol 38: 171-176
14. Matalon S, Nesarajah MS, Krasney JA, Fahri LE (1983) Effects of acute hypercapnia on the central and peripheral circulation of conscious sheep. J Appl Physiol 54:803-808
15. Steinhart CR, Permutt S, Gurtner GH, Traystman RJ (1983) β-Adrenergic activity and cardiovascular response to severe respiratory acidosis. Am J Physiol 244:H46-H54
16. Walley KR, Ford LE, Wood LDH (1991) Effects of hypoxia and hypercapnia on the force-velocity relation of rabbit myocardium. Circ Res 69: 1616-1625
17. Serebrovskaya TV (1992) Comparison of respiratory and circulatory human responses to progressive hypoxia and hypercapnia. Respiration 59:35-41
18. Viswanathan R, Lodi STK, Subramanian S, Radha TG (1976) Pulmonary vascular response to ventilation hypercapnia in man. Respiration 33:165-178
19. Viitanen A, Salmenperä M, Heinonen J (1990) Right ventricular response to hypercapnia after cardiac surgery. Anesthesiology 73:393-400
20. Dantzker DR (1983) The influence of cardiovascular function on gas exchange. Clin Chest Med 4:149-159
21. Lynch JP, Myhre JG, Dantzker DR (1979) Influence of cardiac output on intrapulmonary shunt. J Appl Physiol 46:315-321
22. Langeron O, Deldaux C, Roupie E, Hérigault R, Adnot S, Brochard L, Lemaire F (1994) Hemodynamics and gas exchange alterations due to permissive hypercapnia in human ARDS: a multiple inert gas elimination study. Am J Respir Crit Care Med 149:A420
23. Nunn JF (1993) Distribution of pulmonary ventilation and blood flow. In: Nunn J (ed) Applied respiratory physiology. Butterworth-Heinemann, London Boston, pp 156-197
24. Boros SJ (1979) Variations in inspiratory : expiratory ratio and pressure wave form during mechanical ventilation: the significancy of mean airway pressure. J Pediatr 94:114-117
25. Pesenti A, Marcolin R, Prato P, Borelli M, Riboni A, Gattinoni L (1985) Mean airway pressure vs positive end-expiratory pressure during mechanical ventilation. Crit Care Med 13:34-37
26. Danek SJ, Lynch JP, Weg JG, Dantzker DR (1980) The dependence of oxygen uptake on oxygen delivery in the adult respiratory distress syndrome. Am Rev Respir Dis 122:387-395
27. Clarke C, Edwards JD, Nightingale P, Mortimer AJ, Morris J (1991) Persistence of supply dependence of oxygen uptake at high levels of delivery in adult respiratory distress syndrome. Crit Care Med 19:497-502
28. Lorente JA, Renes E, Gomez-Aguinaga MA, Landin L, de la Morena JL, Liste D (1991) Oxygen delivery-dependent oxygen consumption in acute respiratory failure. Crit Care Med 19:770-775
29. Bihari D, Smithies M, Gimson A, Tinker J (1987) The effects of vasodilation with prostacyclin on oxygen delivery and uptake in critically ill patients. N Engl J Med 317:397-403
30. Krachman SL, Lodato RF, Morice R, Gutierrez G, Dantzker DR (1994) Effects of dobutamine on oxygen transport and consumption in the adult respiratory distress syndrome. Intensive Care Med 20:130-137
31. Archie JP (1980) Mathematic coupling of data. A common source of error. Ann Surg 193:296-303
32. Vermeij CG, Feenstra BWA, Bruining HA (1990) Oxygen delivery and oxygen uptake in postoperative and septic patients. Chest 98:415-420
33. 2 consumption by the Fick method. Am J Respir Crit Care Med 149:1118-1122
34. Russell JA, Wiggs BR (1990) Oxygen kinetics: pitfalls in clinical research revisited. J Crit Care 5:213-217
35. Mood AM (1974) Distribution of functions of random variables. In: Mood A, Graybill F, Boes D (eds) Introduction to the theory of statistics, Ch 5. Mc Graw-Hill, New York, pp 180-181
36. Harken AH, Woods M (1976) The influence of oxyhemoglobin affinity on tissue oxygen consumption. Ann Surg 183:130-135
37. Miller MJ (1982) Tissue oxygenation in clinical medicine: an historical review. Anesth Analg 61:527-535
38. Matthay RA, Berger HJ (1983) Cardiovascular function in cor pulmonale. Clin Chest Med 4:269-295
39. 2. Acta Physiol Scand 129:157-163
40. Clivati A, Ciofetti M, Cavestri R, Longhini E (1992) Cerebral vascular responsiveness in chronic hypercapnia. Chest 102:135-138