Positive end-expiratory pressure alters intracranial and cerebral perfusion pressure in severe traumatic brain injury

Journal of Trauma - Injury, Infection and Critical Care

Volumn 53, Issue 3, 2002, Pages 488-493

  Huynh, Toan ^a   Messer, Marcia ^a   Sing, Ronald F ^a   Miles, William ^a   Jacobs, David G ^a   Thomason, Michael H ^a   Moore, Frederick ^a   Valadka, Alex B ^a   Pitts, Lawrence H ^a   Shackford, Steven R ^a  

^a F H Sammy Ross Jr Trauma Center   (United States)

Author keywords

Airway; Cerebral; Intracranial; Oxygen transport; Positive end expiratory pressure (PEEP)

Indexed keywords

ARTICLE; BLOOD OXYGENATION; BRAIN INJURY; BRAIN PERFUSION; CENTRAL VENOUS PRESSURE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; GLASGOW COMA SCALE; HEART INDEX; HEMODYNAMIC MONITORING; HEMODYNAMICS; HUMAN; INJURY SCALE; INTRACRANIAL PRESSURE; MALE; MORTALITY; OXYGEN CONSUMPTION; PATIENT MONITORING; PERFUSION PRESSURE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PULMONARY ARTERY OCCLUSION; RESPIRATORY FAILURE;

EID: 0036740556     PISSN: 00225282     EISSN: None     Source Type: Journal    
DOI: 10.1097/00005373-200209000-00016     Document Type: Article

References (26)

1. Chesnut RM. Avoidance of hypotension: conditio sine qua non of successful severe head-injury management. J Trauma. 1997;42:S4-S9.
2. Marmarou A, Anderson RL, Ward JD, Choi SC, Young HF. Impact of ICP instability and hypotension on outcome in patients with severe head trauma. J Neurosurg. 1991;75:S59-S66.
3. Ghajar JB, Hariri RJ, Patterson RH. Improved outcome from traumatic coma using only ventricular CSF drainage for ICP control. Adv Neurosurg. 1993;21:173-177.
4. Rosner MJ, Rosner SD, Johnson AH. Cerebral perfusion pressure: management protocol and clinical results. J Neurosurg. 1995;83:949-962.
5. Clifton GL, Allen S, Barrodale P, et al. A phase II study of moderate hypothermia in severe brain injury. J Neurotrauma. 1993;10:263-271.
6. Fortune JB, Feustel PJ, Weigle CGM, et al. Continuous measurement of jugular venous oxygen saturation in response to transient elevations of blood pressure in head-injured patients. J Neurosurg. 1994;80:461-468.
7. DiRusso SM, Nelson LD, Safcsak K, Miller RS. Survival in patients with severe adult respiratory distress syndrome treated with high-level positive end-expiratory pressure. Crit Care Med. 1995;23:1485-1496.
8. Ropper AH, O'Rourke DO, Kennedy SK. Head position, intracranial pressure, and compliance. Neurology. 1982;32:1288-1293.
9. McGuire G, Crossley D, Richards J, Wong D. Effects of varying levels of positive end-expiratory pressure on intracranial pressure and cerebral perfusion pressure. Crit Care Med. 1997;25:1059-1062.
10. Bernard G, Artigas A, Brigham K, et al. The American-European Consensus Conference on ARDS: definition, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med. 1994;149:818-824.
11. Clarke JP. The effects of inverse ratio ventilation on intracranial pressure: a preliminary report. Intensive Care Med. 1997;23:106-109.
12. Amato MBP, Barbas CSV, Medeiros DM, et al. Beneficial effects of the "open lung approach" with low distending pressures in acute respiratory distress syndrome. Am J Respir Crit Care Med. 1995;152:1835-1846.
13. Marini JJ. Evolving concepts in the ventilatory management of acute respiratory distress syndrome. Clin Chest Med. 1996;17:555-575.
14. Diebel LN, Myers T, Dulchavsky S. Effects of increasing airway pressure and PEEP on the assessment of cardiac preload. J Trauma. 1997;42:585-590.
15. Cheatham ML, Nelson LD, Chang MD, et al. Right ventricular enddiastolic volume index as a predictor of preload status in patients on positive end-expiratory pressure. Crit Care Med. 1998;26:1801-1806.
16. Chang MC. Monitoring of the critically injured patient. New Horiz. 1999;7:35-45.
17. Fleming A, Bishop M, Shoemaker W, et al. Prospective trial of supranormal values as goals of resuscitation in severe trauma. Arch Surg. 1992;127:1175-1181.
18. Boyd O, Grounds RM, Bennett ED. A randomized clinical trial of the effect of deliberate perioperative increase of oxygen delivery on mortality in high-risk surgical patients. JAMA. 1993;270:2699-2707.
19. Bishop MH, Shoemaker WC, Appel PL, et al. Prospective, randomized trial of survivor values of cardiac index, oxygen delivery, and oxygen consumption as resuscitation endpoints in severe trauma. J Trauma. 1995;38:780-787.
20. Yu M, Burchell S, Hasaniya N, et al. Relationship of mortality to increasing oxygen delivery in patients ≥ 50 years of age: a prospective, randomized trial. Crit Care Med. 1998;26:1011-1019.
21. Gattinoni L, Brazzi L, Pelosi P, et al. A trial of goal-oriented hemodynamic therapy in critically ill patients. N Engl J Med. 1995;333:1025-1032.
22. Hayes MA, Timmins AC, Yau EHS, et al. Elevation of systemic oxygen delivery in the treatment of critically ill patients. N Engl J Med. 1994;330:1717-1722.
23. Yu M. Oxygen transport optimization. New Horiz. 1999;7:45-53.
24. Apuzzo MLJ, Weiss MH, Peterson V, et al. The effect of positive end expiratory pressure ventilation on intracranial pressure in man. J Neurosurg. 1977;46:227-232.
25. Shapiro HM, Marshall LF. Intracranial pressure responses to PEEP in head injured patients. J Trauma. 1978;18:254-256.
26. Cooper KR, Boswell PA, Choi SC. Safe use of PEEP in patients with severe head injury. J Neurosurg. 1985;63:552-555.