Effect of inverse I:E ratio ventilation on pulmonary gas exchange in acute respiratory distress syndrome

Anesthesiology

Volumn 88, Issue 1, 1998, Pages 35-42

  Zavala, Elizabeth ^a   Ferrer, Miguel ^b   Polese, Guido ^c   Masclans, Joan Ramón ^c   Planas, Mercé ^d   Milic Emili, Joseph ^e   Rodriguez Roisin, Robert ^c   Roca, Josep ^c   Rossi, Andrea ^f  

^a Surgical Intensive Care Unit

^b Pneumology Unit

^c Intensive Care Unit

^d Intensive Care Unit ^*

^e Lung Unit

^f HOSPITAL CLÍNIC   (Spain)

Author keywords

Acute respiratory failure; Arterial oxygenation; Inert gases; Mechanical ventilation

Indexed keywords

ACUTE RESPIRATORY FAILURE; ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; AGED; ARTERIAL OXYGEN SATURATION; ARTICLE; ARTIFICIAL VENTILATION; BAROTRAUMA; BLOOD GAS ANALYSIS; CLINICAL ARTICLE; FEMALE; HEMODYNAMICS; HUMAN; LUNG GAS EXCHANGE; LUNG MECHANICS; LUNG VENTILATION; MALE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL;

ADULT; AGED; AGED, 80 AND OVER; FEMALE; HUMANS; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT;

EID: 0031982991     PISSN: 00033022     EISSN: None     Source Type: Journal    
DOI: 10.1097/00000542-199801000-00008     Document Type: Article

References (22)

1. Slutsky A, Consensus conference on mechanical ventilation. Part I. Intensive Care Med 1994; 20:64-79
2. Bernard G, Artigas A, Brighman K, Carlet J, Falke K, Hudson L, Lamy M, Legall J, Morris A, Spragg R, The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149:818-24
3. Marcy TW, Marini JJ, Inverse ratio ventilation in ARDS. Rationale and implementation. Chest 1991; 100:494-504
4. Gattinoni L, Marcolin R, Caspani M, Fumagali R, Mascheroni D, Pcsenti A, Constant mean airway pressure with different patterns of positive pressure breathing during the adult respirator)1 distress syndrome. Bull Eur Physiopathol Respir 1985; 21:275-9
5. East T, Bohm S, Wallace J, Clemmer T, Weaver L, Orme J, Morris A, A successful computerized protocol for clinical management of pressure control inverse ratio ventilation in ARDS patients. Chest 1992; 101:697-710
6. Brandolese R, Broseghini C, Polese G, Bernasconi M, Brandi G, Milic-Emili J, Rossi A, Effects of intrinsic PEEP on pulmonary gas exchange in mechanically-ventilated patients. Eur Respir J 1992; 6:358-63
7. Gurevitch M, Van Dyke J, Young E, Jackson K, Improved oxygenation and lower peak airway pressure in severe adult respiratory distress syndrome. Treatment with inverse ratio ventilation. Chest 1986; 89:211-3
8. Tharratt R, Allen R, Albertson T, Pressure controlled inverse ratio ventilation in severe adult respiratory failure. Chest 1988; 94:755-62
9. Lain D, DiBenedetto R, Morris S, Van Nguyen A, Saulters R, Causey D, Pressure control inverse ratio ventilation as a method to reduce peak inspirator)' pressure and provide adequate ventilation and oxygenation. Chest 1989; 95:1081-8
10. Abraham E, Yoshihara G, Cardiorespiratory effects of pressure controlled inverse ratio ventilation in severe respiratory failure. Chest 1989; 96:1356-9
11. Poelaert J, Vogelaers D, Colardyn F, Evaluation of the hemodynamic and respiratory effects of inverse ratio ventilation with a right ventricular ejection fraction catheter. Chest 1991; 99:1444-50
12. Chan K, Abraham E, Effects of inverse ratio ventilation on Cardiorespiratory parameters in severe respirator)' failure. Chest 1992; 102:1556-61
13. Mercat A, Graini L, Teboul J, Lenique F, Richard C, Cardiorespiratory effects of pressure-controlled ventilation with and without inverse ratio in the adult respirator)1 distress syndrome. Chest 1993; 104:871-5
14. Lessard M, Guérot E, Lorino H, Lemaire F, Brochard L, Effects of pressure-controlled with different I:E ratios versus volume-controled ventilation on respirator)' mechanics, gas exchange, and hemodynamics in patients with adult respirator)' distress syndrome. ANESTIIESIOLOGY 1994; 80:983-91
15. Murray JF, Matthay MA, Luce JM, Flick MR, An expanded definition of the adult respirator)- distress syndrome. Am Rev Respir Dis 1988; 138:720-3
16. Rossi A, Polese G, Brandi G, Conti G, Intrinsic positive endexpiratory- pressure (PEEPi). Intensive Care Med 1995; 21:522-36
17. Roca J, Wagner PD, Contribution of multiple inert gas elimination technique to pulmonary medicine. 1: Principles and information content of the multiple inert gas elimination technique. Thorax 1993; 49:815-24
18. Rossi A, Santos C, Roca J, Torres A, Fêlez MA, Rodriguez-Roisin R, Effects of PEEP on VA/Q mismatching in ventilated patients with chronic airflow obstruction. Am J Respir Crit Care Med 1994; 149:1077-84
19. Dantzker DR, Brook L, DeHart P, Lynch J, Weg J, Ventilationperfusion distribution in the adult respiratory- distress syndrome. Am Rev Respir Dis 1979; 120:1039-52
20. Katz J, Ozanne G, Zinn S, Fairley H, Time course and mechanisms of lung-volume increase with PEEP in acute pulmonary failure. ANESTHESIOLOGY 1981; 54:9-16
21. Sydow M, Burchardi H, Ephraim E, Zielmann S, Crazier T, Long-term effects of two different ventilator)' modes on oxygénation in acute lung injury. Am J Respir Crit Care Med 1994; 149:1550-6
22. Pesenti A, Pelosi P, Rossi A, The effects of positive-end expiratory pressure in patients with the adult respirator)- distress syndrome and in normal anesthetized subjects. Am Rev Respir Dis 1991; 144:101-7