Right atrial pressure predicts hemodynamic response to apneic positive airway pressure

Critical Care Medicine

Volumn 28, Issue 3, 2000, Pages 672-678

  Jellinek, Helmuth ^a   Krafft, Peter ^d   Fitzgerald, Robert D ^b   Schwarz, Sylvia ^a   Pinsky, Michael R ^c  

^a GENERAL HOSPITAL LINZ   (Austria)

^b LUDWIG BOLTZMANN INSTITUTE FOR LUNG VASCULAR RESEARCH   (Austria)

^c UNIVERSITY OF PITTSBURGH MEDICAL CENTER   (United States)

^d NONE

Author keywords

Acute lung injury; Adverse effects; Airway pressure; Apnea; Cardiac output; Hemodynamic; Mechanical; Monitoring; Positive end expiratory pressure; Respiration; Right ventricular ejection fraction; Thermodilution; Ventilation

Indexed keywords

ADULT; AIRWAY PRESSURE; APNEA; ARTICLE; ARTIFICIAL VENTILATION; CALCULATION; CLINICAL ARTICLE; DISEASE SEVERITY; FEMALE; HEART ATRIUM PRESSURE; HEART INDEX; HEART OUTPUT; HEART VENTRICLE EJECTION; HUMAN; INTENSIVE CARE UNIT; LUNG HEMODYNAMICS; MALE; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PREDICTION; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; THERMODILUTION;

EID: 0034024933     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-200003000-00012     Document Type: Article

References (32)

1. 1. Viquerat CE, Righetti A, Suter PM: Biventricular volumes and function in patients with adult respiratory distress syndrome ventilated with PEEP. Chest 1983; 3:509-514
2. 2. Dhainaut JF, Devaux JY, Monsallier JF, et al: Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS. Chest 1986; 90:74-80
3. 3. Schuster DP: Fluid management in ARDS: "Keep them dry" or does it matter? Intensive Care Med 1995; 21:101-103
4. 4. Pinsky MR: The hemodynamic consequences of mechanical ventilation: An evolving story. Intensive Care Med 1997; 23:493-503
5. 5. Jansen JRC, Schreuder JJ, Bogaard JM, et al: Thermodilution technique for measurement of cardiac output during artificial ventilation. J Appl Physiol 1981; 51:584-591
6. 6. Imai T, Uchiyama M, Maruyama N, et al:. Influence of constant sustained positive airway pressure on right ventricular performance. Intensive Care Med 1993; 19:8-12
7. 7. Huemer G, Kolev N, Kurz A, et al: Influence of positive end-expiratory pressure on right and left ventricular performance assessed by Doppler two-dimensional echocardiography. Chest 1994; 106:67-73
8. 8. Jellinek H, Krafft P, Hiesmayr M, et al: Measurement of right ventricular performance during apnea in patients with acute lung injury. J Trauma 1997; 42:1062-1067
9. 9. Assmann R, Heidelmeyer CF, Trampisch HJ, et al: Right ventricular function assessed by thermodilution technique during apnea and mechanical ventilation. Crit Care Med 1991; 19:810-817
10. 10. Murray JF, Matthay MA, Luce JM, et al: An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 1988; 138:720-723
11. 11. Vincent JL, Thirion M, Brimioulle S, et al: Thermodilution measurement of right ventricular ejection fraction with a modified pulmonary artery catheter. Intensive Care Med 1986; 12:33-38
12. 12. Imai T, Katoh K, Kani H, et al: Effects of injection site on the accuracy of wash out right ventricular ejection fraction measurements in clinical and model investigation. Chest 1991; 99:436-443
13. 13. Versprille A., Jansen JRC: Mean systemic filling pressure as a characteristic pressure for venous return. Pflügers Arch 1985; 405: 226-233
14. 14. Jansen JR, Versprille A: Improvement of cardiac output estimation by the thermodilution method during mechanical ventilation. Intensive Care Med 1986; 12:71-79
15. 15. Morgan BC, Martin WE, Hornbein TF, et al: Hemodynamic effects of intermittent positive pressure respiration. Anesthesiology 1966; 27:584-590
16. 16. Fewell JE, Abendschein DR, Carlson J, et al: Continuous positive-pressure ventilation decreases right and left ventricular enddiastolic volumes in the dog. Circ Res 1980; 46:125-132
17. 17. Tyberg JV, Taichman GC, Smith ER, et al: The relationships between pericardial pressure and right atrial pressure: An intraoperative study. Circulation 1986; 73:428-432
18. 18. Guyton AC: Determination of cardiac output by equating venous return curve with cardiac response curves. Physiol Rev 1955; 35: 123-129
19. 19. Braunwald E, Binion JT, Morgan WL, et al: Alterations in central blood volume and cardiac output induced by positive pressure breathing and counteracted by metaraminol (Aramine). Circ Res 1957; 5:670-675
20. 20. Fessler HE, Brower RG, Wise RA, et al: Effects of positive end-expiratory pressure on the gradient for venous return. Am Rev Respir Dis 1991; 143:19-24
21. 21. Romand J, Shi W, Pinsky MR: Cardiopulmonary effects of positive pressure ventilation during acute lung injury. Chest 1995; 108: 1041-1048
22. 22. Kato M, Saiki S, Ogino TY, et al: Venous pressure and compliance of the peripheral capacitance vessels. Angiology 1976; 27: 677-684
23. 23. Pinsky MR: Determinants of pulmonary artery flow variation during respiration. J Appl Physiol 1984; 56:1237-1245
24. 24. Pinsky MR, Perlini S, Solda PL, et al: Dynamic evaluation of ventricular interactions in the rabbit: Simultaneous measurement of biventricular pressure-volume loops. J Crit Care 1996; 11:65-76
25. 25. Fessler HE, Brower RG, Wise RA, et al: Effects of positive end-expiratory pressure on the canine venous return curve. Am Rev Respir Dis 1992; 146:4-10
26. 26. Shippy CR, Appel PL, Shoemaker WC: Reliability of clinical monitoring to assess blood volume in critically ill patients. Crit Care Med 1984; 12:107-112
27. 27. Diebel LN, Wilson RF, Tagett MG, et al: Enddiastolic volume: A better predictor of preload in the critically ill. Arch Surg 1992; 127:817-822
28. 28. Brienza A, Dambrosio M, Bruno F, et al: Right ventricular ejection fraction measurement in moderate acute respiratory failure (ARF): Effects of PEEP. Intensive Care Med 1988; 14:478-482
29. 29. Jardin F, Brun-Ney D, Hardy A, et al: Combined thermodilution and two-dimensional echocardiographic evaluation of right ventricular function during respiration support with PEEP. Chest 1991; 99:162-168
30. 30. Pinsky MR, Desmet JM, Vincent JL: Effect of positive end-expiratory pressure on right ventricular function in humans. Am Rev Resp Dis 1992; 146:681-687
31. 31. Dhainaut JF, Pinsky MR, Nouria S, et al: Right ventricular function in human sepsis: A thermodilution study. Chest 1997; 112: 1043-1049
32. 32. Jardin F, Delorme G, Hardy A, et al: Reevaluation of hemodynamic consequences of positive pressure ventilation: Emphasis on cyclic right ventricular afterloading by mechanical lung inflation. Anesthesiology 1990; 72:966-970