Derecruitment of the lung induced by stepwise lowering of positive end-expiratory pressure in patients with adult respiratory distress syndrome

European Journal of Anaesthesiology

Volumn 20, Issue 10, 2003, Pages 794-799

  De Robertis, Edoardo ^a,b   Servillo, G ^a   Pezza, M ^a   Viscidi, D ^a   Tufano, R ^a  

^a UNIVERSITY OF NAPLES FEDERICO II   (Italy)

^b Istituto di Anestesia e Rianimazione   (Italy)

Author keywords

Biomechanics, elasticity, compliance; Respiration, respiratory mechanics; Respiratory therapy, respiration, artificial

Indexed keywords

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; AGED; ARTICLE; BLOOD TRANSFUSION; CLINICAL ARTICLE; CORRELATION ANALYSIS; FEMALE; HUMAN; LUNG COMPLIANCE; LUNG DERECRUITMENT; MALE; POSITIVE END EXPIRATORY PRESSURE; REFLEX RECRUITMENT; TIDAL VOLUME; TITRIMETRY;

ADULT; AGED; FEMALE; HUMANS; LUNG; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; PULMONARY ALVEOLI; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY MECHANICS;

EID: 0141895108     PISSN: 02650215     EISSN: None     Source Type: Journal    
DOI: 10.1017/S0265021503001285     Document Type: Article

References (26)

1. Matamis D, Lemaire F, Harf A, Brun-Buisson C, Ansquer JC, Atlan G. Total respiratory pressure-volume curves in the adult respiratory distress syndrome. Chest 1984; 86: 58-66.
2. Ranieri VM, Giuliani R, Fiore T, Dambrosio M, Milic-Emili J. Volume-pressure curve of the respiratory system predicts effects of PEEP in ARDS: 'occlusion' versus 'constant flow' technique. Am J Respir Crit Care Med 1994; 149: 19-27.
3. Roupie E, Dambrosio M, Servillo G, et al. Titration of tidal volume and induced hypercapnia in acute respiratory distress syndrome. Am J Respir Crit Care Med 1995; 152: 121-128.
4. Servillo G, Svantesson C, Beydon L, et al. Pressure-volume curves in acute respiratory failure. Automated low flow inflation versus occlusion. Am J Respir Crit Care Med 1997; 155: 1629-1636.
5. Servillo G, De Robertis E, Coppola M, Blasi F, Rossano F, Tufano R. Application of a computerised method to measure static pressure volume curve in acute respiratory distress syndrome. Intens Care Med 2000; 26: 11-14.
6. Lemaire F. ARDS and PV curves: the inseparable duet? Intens Care Med 2000; 26: 1-2.
7. Jonson B, Svantesson C. Elastic pressure-volume curve: what information do they convey? Thorax 1999; 54: 82-87.
8. Hickling KG. The pressure-volume curve is greatly modified by recruitment. A mathematical model of ARDS lungs. Am J Respir Crit Care Med 1998; 158: 194-202.
9. Liu JM, De Robertis E, Blomquist S, Dahm PL, Svantesson C, Jonson B. Elastic pressure-volume curves of the respiratory system reveal a high tendency to lung collapse in young pigs. Intens Care Med 1999; 25: 1140-1146.
10. De Robertis E, Liu JM, Blomquist S, Dahm PL, Thorne J, Jonson B. Elastic properties of the lung and chest wall in young and adult healthy pigs. Eur Respir J 2001; 17: 703-711.
11. Jonson B, Richard JC, Straus C, Mancebo J, Lemaire F, Brochard L. Pressure-volume curves in acute lung injury. Evidence of recruitment above the lower inflection point. Am J Respir Crit Care Med 1999; 159: 1172-1178.
12. Svantesson C, Drefeldt B, Sigurdsson S, Larsson A, Brochard L, Jonson B. A single computer-controlled mechanical insufflation allows determination of the pressure-volume relationship of the respiratory system. J Clin Monit 1999; 15: 9-16.
13. Sigurdson S, Svantesson C, Larsson A, Jonson B. Elastic pressure-volume curves indicate derecruitment after a single deep expiration in anaesthetised and muscle-relaxed healthy man. Acta Anaesthesiol Scand 2000; 44: 980-984.
14. Bernard GR, Artigas A, Brigham KL, et al. The American-European consensus conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149: 818-824.
15. Murray JF, Matthay MA, Luce JM, Flick MR. An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 1988; 138: 720-723.
16. Servillo G, Coppola M, Blasi F, Tufano R. The measurement of the pressure-volume curves with computerized methods. Minerva Anesthesiol 2000; 66: 381-385.
17. Svantesson C, Sigurdsson S, Larsson A, Jonson B. Effects of recruitment of collapsed lung units on the elastic pressure-volume relationship in anaesthetised healthy adults. Acta Anaesthesiol Scand 1998; 42: 1149-1156.
18. Gattinoni L, Pesenti A, Bombino M, et al. Relationships between lung computed tomographic density, gas exchange, and PEEP in acute respiratory failure. Anesthesiology 1988; 69: 824-832.
19. Maggiore SM, Jonson B, Richard JC, Jaber S, Lemaire F, Brochard L. Alveolar derecruitment at decremental positive end-expiratory pressure levels in acute lung injury. Comparison with the lower inflection point, oxygenation and compliance. Am J Respir Crit Care Med 2001; 164: 795-801.
20. Vieira SR, Puybasset L, Lu Q, et al. A scanographic assessment of pulmonary morphology in acute lung injury. Significance of the lower inflection point detected on the lung pressure-volume curve. Am J Respir Crit Care Med 1999; 159: 1612-1623.
21. Lachmann B. Open up the lung and keep the lung open. Intens Care Med 1992; 18: 319-321.
22. Mergoni M, Martelli A, Volpi A, Primavera S, Zuccoli P, Rossi A. Impact of positive end-expiratory pressure on chest-wall and lung pressure-volume curve in acute respiratory failure. Am J Respir Crit Care Med 1997; 156: 846-854.
23. Svantesson C, Sigurdsson S, Larson A, Jonson B. The contribution of the chest wall to the elastic pressure-volume curve of the total respiratory system. Intens Care Med 1998; 24: S95.
24. Ranieri VM, Brienza N, Santostasi S, et al. Impairment of lung and chest wall mechanics in patients with acute respiratory distress syndrome: role of abdominal distension. Am J Respir Crit Care Med 1997; 156: 1082-1091.
25. Richard JC, Maggiore SM, Jonson B, Mancebo J, Lemaire F, Brochard L. Influence of tidal volume on alveolar recruitment. Respective role of PEEP and recruitment maneuvre. Am J Respir Crit Care Med 2001; 163: 1609-1613.
26. Servillo G, De Robertis E, Maggiore S, Lemaire F, Brochard L, Tufano R. The upper inflection point of the pressure-volume curve. Influence of methodology and of different modes of ventilation. Intens Care Med 2002; 28: 842-849.