Does positive end-expiratory pressure ventilation improve left ventricular function? A comparative study by transesophageal echocardiography in cardiac and noncardiac patients

Chest

Volumn 114, Issue 2, 1998, Pages 556-562

  Fellahi, Jean Luc ^a,b   Valtier, Bruno ^a   Beauchet, Alain ^a   Bourdarias, Jean Pierre ^a   Jardin, François ^a  

^a HÔPITAL AMBROISE PARÉ   (France)

^b PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

Author keywords

Cardiomyopathy; Hemodynamics; PEEP ventilation; Transesophageal echocardiography

Indexed keywords

ADULT; AGED; ARTICLE; CARDIOMYOPATHY; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CRITICAL ILLNESS; DIAGNOSTIC ACCURACY; FEMALE; HEART FUNCTION; HEART LEFT VENTRICLE FUNCTION; HUMAN; INTERMETHOD COMPARISON; MALE; PNEUMONIA; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 0031867474     PISSN: 00123692     EISSN: None     Source Type: Journal    
DOI: 10.1378/chest.114.2.556     Document Type: Article

References (25)

1. Qvist J, Pontoppidan H, Wilson RS, et al. Hemodynamic responses to mechanical ventilation with PEEP: the effect of hypervolemia. Anesthesiology 1975; 42:45-55
2. Scharf SM, Brown R, Saunders N, et al. Changes in canine left ventricular size and configuration with positive end-expiratory pressure. Circ Res 1979; 44:672-78
3. Jardin F, Farcot JC, Boisante L, et al. Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 1981; 304:387-92
4. Pinsky MR, Matuschak GM, Klain M. Determinants of cardiac augmentation by elevations in intrathoracic pressure. J Appl Physiol 1985; 58:1189-98
5. Calvin JE, Driedger AA, Sibbald WJ. PEEP does not depress left ventricular function in patients with pulmonary edema. Am Rev Respir Dis 1981; 124:121-28
6. Grace MP, Greenbaum DM. Cardiac performance in response to PEEP in patients with cardiac dysfunction. Crit Care Med 1982; 10:358-60
7. Mathru M, Rao TLK, El-Etr AA, et al. Hemodynamic response to changes in ventilatory patterns in patients with normal and poor left ventricular reserve. Crit Care Med 1982; 10:423-26
8. Pouleur H, Corell JW, Ross J Jr. Effects of nitroprusside on venous return and central blood volume in the absence and presence of acute heart failure. Circulation 1980; 61:328-37
9. Reichek N, Wilson J, St John Sutton M, et al. Noninvasive determination of left ventricular end-systolic stress: validation of the method and initial application. Circulation 1982; 65:99-108
10. Lang RM, Borow KM, Neumann A, et al. Systemic vascular resistance: an unreliable index of left ventricular afterload. Circulation 1986; 74:1114-23
11. Sheehan FH, Bolson EL, Dodge HT, et al. Advantages and applications of the centerline method for characterizing regional ventricular function. Circulation 1986; 74:293-305
12. Suter P, Fairley B, Isenberg M. Optimum positive end-expiratory pressure in patients with acute respiratory failure. N Engl J Med 1975; 292:284-89
13. Perschau RA, Pepine CJ, Nichols WW, et al. Instantaneous blood flow responses to positive end-expiratory pressure with spontaneous ventilation. Circulation 1979; 59:1312-18
14. Buda AJ, Pinsky MR, Ingels NB, et al. Effect of intrathoracic pressure on left ventricular performance. N Engl J Med 1979; 301:453-59
15. Scharf SM, Bianco JA, Tow DE, et al. The effects of large negative intrathoracic pressure on left ventricular function in patients with coronary artery disease. Circulation 1981; 63: 871-75
16. Pinsky MR, Summer WR, Wise RA, et al. Augmentation of cardiac function by elevation of intrathoracic pressure. J Appl Physiol 1983; 54:950-55
17. Permutt S. Circulatory effects of weaning from mechanical ventilation: the importance of transdiaphragmatic pressure. Anesthesiology 1988; 69:157-60
18. Pinsky MR. The hemodynamic consequences of mechanical ventilation: an evolving story. Intensive Care Med 1997; 23: 493-503
19. Jardin F, Brun-Ney D, Hardy A, et al. Combined thermodilution and two-dimensional echocardiographic evaluation of right ventricular function during respiratory support with PEEP. Chest 1991; 99:162-68
20. Berglund JE, Halden E, Jakobson S, et al. Echocardiographic analysis of cardiac function during high PEEP ventilation. Intensive Care Med 1994; 20:174-80
21. Schuster S, Erbel R, Weilemann LS, et al. Hemodynamics during PEEP ventilation in patients with severe left ventricular failure studied by transesophageal echocardiography. Chest 1990; 97:1181-89
22. Takata M, Robotham JL. Ventricular external constraint by the lung and pericardium during positive end-expiratory pressure. Am Rev Respir Dis 1991; 143:872-75
23. Cassidy SS, Robertson CH, Pierce AK, et al. Cardiovascular effects of positive end-expiratory pressure in dogs. J Appl Physiol 1978; 44:743-50
24. Jardin F, Farcot JC, Guéret P, et al. Cyclic changes in arterial pulse during respiratory support. Circulation 1983; 68:266-74
25. Versprille A, Jansen JRC, Frietman RC, et al. Negative effect of insufflation on cardiac output and pulmonary blood volume. Acta Anaesthesiol Scand 1990; 34:607-15