Pulmonary gas exchange response to weaning with pressure-support ventilation in exacerbated chronic obstructive pulmonary disease patients

Intensive Care Medicine

Volumn 28, Issue 11, 2002, Pages 1595-1599

  Ferrer, Miquel ^a   Iglesia, Raquel ^a   Roca, Josep ^a   Burgos, Felip ^a   Torres, Antoni ^a   Rodriguez Roisin, Robert ^a  

^a UNIVERSITY OF BARCELONA   (Spain)

Author keywords

Chronic obstructive pulmonary disease; Gas exchange; Mechanical ventilation; Respiratory failure; Ventilation perfusion mismatch; Weaning

Indexed keywords

ADULT; AGED; ARTICLE; BREATHING RATE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; CONTROLLED STUDY; HEART OUTPUT; HUMAN; LUNG BLOOD FLOW; LUNG GAS EXCHANGE; LUNG VENTILATION PERFUSION RATIO; MALE; OXYGEN TENSION; POSITIVE END EXPIRATORY PRESSURE; TIDAL VOLUME; VENOUS OXYGEN TENSION; WEANING;

AGED; ANALYSIS OF VARIANCE; HEMODYNAMIC PROCESSES; HUMANS; INTENSIVE CARE UNITS; INTUBATION, INTRATRACHEAL; MALE; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; PULMONARY DISEASE, CHRONIC OBSTRUCTIVE; PULMONARY GAS EXCHANGE; PULMONARY VENTILATION; RESPIRATION, ARTIFICIAL; STATISTICS, NONPARAMETRIC; VENTILATOR WEANING;

EID: 0036902562     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-002-1490-4     Document Type: Article

References (15)

1. Barbera JA (2000) Chronic obstructive pulmonary disease. In: Roca J, Rodriguez-Roisin R, Wagner PD (eds) Pulmonary and Peripheral Gas Exchange in Health and Disease. Marcel Dekker, New York, pp 229-261
2. Torres A, Reyes A, Roca J, Wagner PD, Rodriguez-Roisin R (1989) Ventilation-perfusion mismatching in chronic obstructive pulmonary disease during ventilator weaning. Am Rev Respir Dis 140:1246-1250
3. Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N, Gasparetto A, Lemaire F (1994) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150:896-903
4. Brochard L, Pluskwa F, Lemaire F (1987) Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 136:411-415
5. Beydon L, Cinotti L, Rekik N, Radermacher P, Adnot S, Meignan M, Harf A, Lemaire F (1991) Changes in the distribution of ventilation and perfusion associated with separation from mechanical ventilation in patients with obstructive pulmonary disease. Anesthesiology 75:730-738
6. Leung P, Jubran A, Tobin MJ (1997) Comparison of assisted ventilator modes on triggering, patient effort and dyspnea. Am J Respir Crit Care Med 155:1940-1948
7. A/Q distributions from analysis of experimental inert gas elimination. J Appl Physiol 42:600-605
8. Cardús J, Burgos F, Diaz O, Roca J, Barbera JA, Rodriguez-Roisin R, Wagner PD (1997) Increase in pulmonary ventilation-perfusion inequality with age in healthy individuals. Am J Respir Crit Care Med 156:648-653
9. Ferrer M, Zavala E, Diaz O, Roca J, Wagner PD, Rodriguez-Roisin R (1998) Assessment of ventilation-perfusion mismatching in mechanically ventilated patients with a 1-liter inner volume mixed expired gas box. Eur Respir J 12:1172-1176
10. Gale G, Torre-Bueno J, Moon R, Saltzman H, Wagner PD (1985) Ventilation-perfusion inequality in normal humans during exercise at sea level and simulated altitude. J Appl Physiol 58:978-988
11. Fiastro JF, Habib MP, Quan SF (1988) Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest 93:499-505
12. Brochard L, Rua F, Lorino H, Lemaire F, Harf A (1991) Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology 75:739-745
13. Esteban A, Alia I, Gordo F, Fernandez R, Solsona JF, Vallverdú I, Macias S, Allegue JM, Blanco J, Carriedo D, Leon M, De la Cal MA, Taboada F, Gonzalez de Velasco J, Palazon E, Carrizosa F, Tomas R, Suarez J, Goldwasser RS, for the Spanish Lung Failure Collaborative Group (1997) Extubation outcome after spontaneous breathing trials with T-tube or pressure support ventilation. Am J Respir Crit Care Med 156:459-465
14. A/Q) distributions during proportional assist ventilation (PAV) in acute hypercapnic COPD patients. Am J Respir Crit Care Med 161:A850
15. Diaz O, Iglesia R, Ferrer M, Zavala E, Santos C, Wagner PD, Roca J, Rodriguez-Roisin R (1997) Effects of noninvasive ventilation on pulmonary gas exchange and hemodynamics during acute hypercapnic exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 156:1840-1845