Interpretation of the pulmonary artery occlusion pressure in mechanically ventilated patients with large respiratory excursions in intrathoracic pressure

Intensive Care Medicine

Volumn 23, Issue 11, 1997, Pages 1125-1131

  Hoyt, J D ^a   Leatherman, J W ^a  

^a HENNEPIN COUNTY MEDICAL CENTER   (United States)

Author keywords

Neuromuscular blocking agents; Pulmonary wedge pressure; Swan Ganz

Indexed keywords

NEUROMUSCULAR BLOCKING AGENT;

ARTICLE; ARTIFICIAL VENTILATION; BREATHING MUSCLE; CLINICAL ARTICLE; CRITICAL ILLNESS; HEART LEFT VENTRICLE FILLING PRESSURE; HEART PRELOAD; HUMAN; LUNG ARTERY PRESSURE; LUNG CAPILLARY PRESSURE; LUNG WEDGE PRESSURE; MUSCLE RELAXATION; RELIABILITY; SEDATION; THORAX PRESSURE;

ADULT; ARTERIAL OCCLUSIVE DISEASES; CRITICAL CARE; HUMANS; MUSCLE RELAXATION; POSITIVE-PRESSURE RESPIRATION, INTRINSIC; PRESSURE; PULMONARY WEDGE PRESSURE; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; RESPIRATORY PHYSIOLOGY;

EID: 0030716836     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001340050468     Document Type: Article

References (25)

1. O'Quin R, Marini JJ (1983) Pulmonary artery occlusion pressure: clinical physiology, measurement and interpretation. Am Rev Respir Dis 128: 319-326
2. Leatherman JW, Marini J (1993) Pressure monitoring. In: Sprung C (ed) The pulmonary artery catheter: methodology and clinical applications, 2nd edn. Closter, NJ: Critical Care Research Associates, pp. 119-156
3. Raper R, Sibbald WJ (1986) Misled by the wedge? Swan-Ganz catheter and left ventricular preload. Chest 89: 427-434
4. Morris AH, Chapman RH, Gardner RM (1984) Frequency of technical problems encountered in the measurement of pulmonary artery wedge pressure. Crit Care Med 12: 164-170
5. Berryhill RE, Benumof JL, Rauscher A et al. (1978) Pulmonary vascular pressure reading at the end of exhalation. Anesthesiology 49: 365-368
6. Maran AG (1980) Variables in pulmonary capillary wedge pressure: variation with intrathoracic pressure, graphic and digital recorders. Crit Care Med 8: 102-105
7. Schuster DP, Seeman MD (1983) Temporary muscle paralysis for accurate measurement of pulmonary artery occlusion pressure: Chest 84: 593-597
8. Rice DL, Awe RJ, Gaasch WH et al. (1974) Wedge pressure measurement in obstructive pulmonary disease. Chest 66: 628-632
9. Marini JJ, Rodriguez R, Lamb VJ (1986) The inspiratory workload of patient-initiated mechanical ventilation. Am Rev Respir Dis 134: 902-909
10. Marini JJ, Capps J, Culver BH (1985) The inspiratory work of breathing during assisted mechanical ventilation. Chest 87: 612-618
11. Marini JJ, Smith TC, Lamb VJ (1988) External work output and force generation during synchronized intermittent mechanical ventilation: effect of machine assistance on breathing effort. Am Rev Respir Dis 138: 1169-1179
12. Guiliani R, Mascia L, Recchia F, Caracciolo A, Fiore T, Ranieri VM (1995) Patient-ventilator interaction during synchronized intermittent mandatory ventilation: effects of flow triggering. Am J Respir Crit Care Med 151: 1-9
13. Chandra A, Coggeshall JW, Ravenscraft SA et al. (1994) Hyperpnea limits the volume recruited by positive end-expiratory pressure. Am J Respir Crit Care Med 150: 911-917
14. Lessard MR, Lofaso F, Brochard L (1995) Expiratory muscle activity increases intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am J Respir Crit Care Med 151: 562-569
15. Gorini M, Misuri G, Duranti et al. (1997) Abdominal muscle recruitment and PEEPi during bronchconstriction in chronic obstructive pulmonary disease. Thorax 52: 355-361
16. Takata M, Robotham JL (1992) Effects of inspiratory diaphragmatic descent on inferior vena caval venous return. J Appl Physiol 72: 597-607
17. Takata M, Wise RA, Robotham JL (1990) Effects of abdominal pressure on venous return: abdominal vascular zone conditions. J Appl Physiol 69: 1961-1972
18. Bar-Yishay E, Hyatt RE, Rodarte JE (1986) Effect of heart weight on distribution of lung surface pressures in vertical dogs. J Appl Physiol 61: 712-718
19. Baydur A, Behrakis PK, Zin WA et al. (1982) A simple method for assessing the validity of the esphageal balloon technique. Am Rev Resp Dis 126: 788-791
20. Marini JJ, O'Quin R, Culver BH et al. (1982) Estimation of transmural cardiac pressures during ventilation with PEEP. J Appl Physiol 53: 384-391
21. Mead J, Gaensler EA (1959) Esophageal and pleural pressures in man, upright and supine. J Appl Physiol 14: 81-83
22. Milic-Emili J, Mead J, Turner JM (1964) Topography of esophageal pressure as a function of posture in man. J Appl Physiol 19: 212-216
23. Dhainaut JF, Devaux JY, Monsallier JF et al. (1986) Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS. Chest 90: 74-80
24. Hansen-Flaschen J, Cowen J, Raps EC (1993) Neuromuscular blockade in the intensive care unit: more than we bargained for. Am Rev Resp Dis 147: 234-236
25. Pepe PE, Marini JJ (1982) Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction. Am Rev Resp Dis 126: 166-170