Ventilation with constant versus decelerating inspiratory flow in experimentally induced acute respiratory failure

Anesthesiology

Volumn 84, Issue 4, 1996, Pages 882-889

  Markström, Agneta M ^a,b   Lichtwarck Aschoff, Michael ^b,c   Svensson, Björn A ^b   Nordgren, K Anders ^b   Sjöstrand, Ulf H ^b  

^a Dept of Anesth and Intensive Care ^*

^b UPPSALA UNIVERSITY HOSPITAL   (Sweden)

^c KLINIKUM AUGSBURG   (Germany)

Author keywords

Anesthesia, intravenous: ketamine; Lungs: acute respiratory failure; surfactant deficiency; Monitoring: functional residual capacity; gas exchange; hemodynamics; Ventilation: constant inspiratory flow; decelerating inspiratory flow; positive end expiratory pressure

Indexed keywords

ACUTE RESPIRATORY FAILURE; AIRWAY PRESSURE; ANIMAL EXPERIMENT; ARTERIAL OXYGEN TENSION; ARTICLE; FUNCTIONAL RESIDUAL CAPACITY; INSPIRATORY CAPACITY; LUNG GAS EXCHANGE; NONHUMAN; PRIORITY JOURNAL; RISK ASSESSMENT; SWINE; TIDAL VOLUME;

ACUTE DISEASE; ANIMALS; CARBON DIOXIDE; HEMODYNAMIC PROCESSES; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; SWINE;

EID: 0029912323     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199604000-00016     Document Type: Article

References (25)

1. Al-Saady N, Bennett ED: Decelerating inspiratory flow waveform improves lung mechanics and gas exchange in patients on intermittent positive-pressure ventilation. Intensive Care Med 1985; 11:68-75
2. Bergman NA: Effects of varying inspiratory waveforms on gas exchange. ANESTHESIOLOGY 1967; 28:390-5
3. Dammann JF, McAslan TC, Maffeo CJ: Optimal flow pattern for mechanical ventilation of the lungs. 2. The effect of a sine versus square wave flow pattern with and without an end-inspiratory pause on patients. Crit Care Med 1978; 6:293-310
4. Sykes M, Lumley J: The effect of varying inspiratory flow on gas exchange during anesthesia for open-heart surgery. Br J Anaesth 1969; 41:374-80
5. Rappaport SH, Shpiner R, Yoshihara G, Wright J, Chang P, Abraham E: Randomized, prospective trial of pressure-limited versus volume-controlled ventilation in severe respiratory failure. Crit Care Med 1994; 22:22-32
6. Hubmary RD, Abel MD, Rehder K: Physiologic approach to mechanical ventilation. Crit Care Med 1990; 18:103-13
7. Lichtwarck-Aschoff M, Nielsen JB, Sjöstrand UH, Edgren EL. An experimental randomized study of five different ventilatory modes in a piglet model of severe respiratory distress. Intensive Care Med 1992; 18:339-47
8. Nielsen JB, Sjöstrand U, Edgren EL, Lichtwarck-Aschoff M, Svensson BA: An experimental study of different ventilatory modes in piglets in severe respiratory distress induced by surfactant depletion. Intensive Care Med 1991; 17:225-33
9. Löcher W, Ganter M, Fassbender CP: Correlation between drug metabolite concentration in plasma and anesthetic action of ketamine in swine. Am J Vet Res 1990; 51:391-8
10. Whelan G, Flecknell PA: The assessment of depth of anaesthesia in animals and man. Lab Anim 1992; 26:153-62
11. Litchtwarck-Aschoff M, Leucht S, Kisch H, Zimmermann G, Blümel G, Pfeiffer U: Monitoring of right ventricular function using a conventional slow response thermistor catheter. Intensive Care Med 1994; 20:348-53
12. Lichtwarck-Aschoff M, Zeravik J, Pfeiffer UJ: Intrathoracic blood volume accurately reflects circulatory volume status in critically ill patients with mechanical ventilation. Intensive Care Med 1992; 18:142-7
13. Lewis F, Elings V: Microprocessor determination of lung water using thermal-green dye double indicator dilution. Surg Forum 1978; 29:182-4
14. Pierson DJ, Kacmarek RM: Foundations of Respiratory Care. New York, Churchill Livingstone, 1992, p 976
15. Scott LR, Benson MS, Pierson DJ: Effect of inspiratory flow rate and circuit compressible volume on auto-PEEP during mechanical ventilation. Respir Care 1986; 31:1075-9
16. Larsson A, Linnarsson D, Jonmarker C, Jonsson B, Larsson H, Werner O: Measurements of lung volume by sulphur hexafluorid washout during spontaneous and controlled ventilation. Further development of a method. ANESTHESIOLOGY 1989; 67:543-50
17. Larsson A, Jonmarker C, Werner O: Ventilation inhomogeneity during controlled ventilation. Which index should be used? J Appl Physiol 1988; 65:2030-9
18. Sjöstrand UH, Lichtwarck-Aschoff M, Nielsen JB, Markström A, Larsson A, Svensson BA, Wegenius GA, Nordgren KA: Different ventilatory approaches to keep the lung open. Intensive Care Med 1995; 21:310-8
19. Lachmann B, Robertson B, Vogel J: In vivo lung lavage as an experimental model of respiratory distress. Acta Anaesthesiol Scand 1980; 24:231-6
20. Slutsky AS: Mechanical Ventilation. ACCP Consensus conference January 28-30, 1993 at Northbrook, Illinois, USA. Chest 1993; 104:1833-69
21. Dreyfuss D, Soler P, Basset G, Saumon G: High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988; 137:1159-64
22. Abraham E, Yoshihara G: Cardiorespiratory effects of pressure controlled inverse ratio ventilation in severe respiratory failure. Chest 1989; 96:1356-9
23. Cole A, Weller S, Sykes M: Inverse ratio ventilation compared with PEEP in adult respiratory failure. Intensive Care Med 1984; 10: 227-32
24. Modell HI, Cheney F: Effects of inspiratory flow pattern on gas exchange in normal and abnormal lungs. J Appl Physiol 1979; 46:1103-7
25. Nye R: Influence of the cyclical pattern of ventilatory flow on pulmonary gas exchange. Respir Physiol 1970; 10:321-7