Effects of positive end-expiratory pressure increments can be predicted by computer simulation based on a physiological profile in acute respiratory failure

Intensive Care Medicine

Volumn 29, Issue 2, 2003, Pages 226-232

  Uttman, L ^a   Beydon, L ^b   Jonson, B ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

^b ANGERS UNIVERSITY HOSPITAL   (France)

Author keywords

Acute lung injury; Artificial ventilation; Mechanics; Pulmonary gas exchange; Respiratory dead space; Respiratory insufficiency

Indexed keywords

CARBON DIOXIDE;

ACUTE RESPIRATORY FAILURE; ADULT; AGED; ANALYTICAL ERROR; ARTICLE; BREATHING RATE; CLINICAL ARTICLE; CLINICAL TRIAL; COMPUTER SIMULATION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; FEMALE; HUMAN; INTENSIVE CARE UNIT; LUNG COMPLIANCE; LUNG MODEL; LUNG PRESSURE; LUNG RESISTANCE; MALE; POSITIVE END EXPIRATORY PRESSURE; PREDICTION; STATISTICAL SIGNIFICANCE; TIDAL VOLUME;

EID: 0347296031     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-002-1620-z     Document Type: Article

References (27)

1. Matamis D, Lemaire F, Harf A, Teisseire B, Brun-Buisson C (1984) Redistribution of pulmonary blood flow induced by positive end-expiratory pressure and dopamine infusion in acute respiratory failure. Am Rev Respir Dis 129:39-44
2. Jansson L, Jonson B (1972) A theoretical study on flow patterns of ventilators. Scand J Respir Dis 53:237-246
3. Uttman L, Sigurdsson S, Jonson B (1999) Computer simulation: a guideline in ventilator setting in severe lung disease. Crit Care 3 [Suppl 1]:A37
4. Uttman L, Jonson B (2002) Computer-aided ventilator resetting is feasible on the basis of a physiological profile. Acta Anaesthesiol Scand 46:289-296
5. Jonson B, Richard JC, Straus C, Mancebo J, Lemaire F, Brochard L (1999) Pressure-volume curves and compliance in acute lung injury: evidence of recruitment above the lower inflection point. Am J Respir Crit Care Med 159:1172-1178
6. Beydon L, Uttman L, Rawal R, Jonson B (2002) Effects of positive end-expiratory pressure on dead space and its partitions in acute lung injury. Intensive Care Med 28:1239-1245
7. Svantesson C, Drefeldt B, Jonson B (1997) The static pressure-volume relationhip of the respiratory system determined with a computer-controlled ventilator. Clin Physiol 17:419-430
8. Taskar V, John J, Larsson A, Wetterberg T, Jonson B (1995) Dynamics of carbon dioxide elimination following ventilator resetting. Chest 108:196-202
9. Rohrer F (1915) Der Strömungswiderstand in den menschlichen Atemwegen und der Einfluss der unregelmässigen Verzweigung des Bronchialsystems auf den Atmungsverlauf. Arch Gesamte Physiol 162:225-299
10. Jonson B, Beydon L, Brauer K, Månsson C, Valind S, Grytzell H (1993) Mechanics of respiratory system in healthy anesthetized humans with emphasis on viscoelastic properties. J Appl Physiol 75:132-140
11. Beydon L, Svantesson C, Brauer K, Lemaire F, Jonson B (1996) Respiratory mechanics in patients ventilated for critical lung disease. Eur Respir J 9:262-273
12. Ranieri VM, Zhang H, Mascia L, Aubin M, Lin CY, Mullen JB, Grasso S, Binnie M, Volgyesi GA, Eng P, Slutsky AS (2000) Pressure-time curve predicts minimally injurious ventilatory strategy in an isolated rat lung model. Anesthesiology 93:1320-1328
13. Briscoe WA, Dubois AB (1958) The relationship between airway resistance, airway conductance and lung volume in subjects of different age and body size. J Clin Invest 37:1279-1285
14. Fletcher R, Jonson B, Cumming G, Brew J (1981) The concept of dead space with special reference to the single breath test for carbon dioxide. Br J Anaesth 53:77-88
15. ARDS Network (2000) Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 342:1301-1308
16. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CR (1998) Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 338:347-354
17. Ranieri VM, Eissa NT, Corbeil C, Chasse M, Braidy J, Matar N, Milic-Emili J (1991) Effects of positive end-expiratory pressure on alveolar recruitment and gas exchange in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 144:544-551
18. Larsson A, Gilbert JT, Bunegin L, Gelineau J, Smith RB (1992) Pulmonary effects of body position, PEEP, and surfactant depletion in dogs. Acta Anaesthesiol Scand 36:38-45
19. Nieman GF, Paskanik AM, Bredenberg CE (1988) Effect of positive end-expiratory pressure on alveolar capillary perfusion. J Thorac Cardiovasc Surg 95:712-716
20. Kanarek DJ, Shannon DC (1975) Adverse effect of positive end-expiratory pressure on pulmonary perfusion and arterial oxygenation. Am Rev Respir Dis 112:457-459
21. Marini JJ, Culver BH, Butler J (1981) Effect of positive end-expiratory pressure on canine ventricular function curves. J Appl Physiol 51:1367-1374
22. Potkin RT, Hudson LD, Weaver LJ, Trobaugh G (1987) Effect of positive end-expiratory pressure on right and left ventricular function in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 135:307-311
23. Rothen HU, Sporre B, Engberg G, Wegenius G, Reber A, Hedenstierna G (1995) Prevention of atelectasis during general anaesthesia. Lancet 345:1387-1391
24. Neumann P, Rothen HU, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G (1999) Positive end-expiratory pressure prevents atelectasis during general anaesthesia even in the presence of a high inspired oxygen concentration. Acta Anaesthesiol Scand 43:295-301
25. Richard JC, Maggiore SM, Jonson B, Mancebo J, Lemaire F, Brochard L (2001) Influence of tidal volume on alveolar recruitment. Respective role of PEEP and a recruitment maneuver. Am J Respir Crit Care Med 163:1609-1613
26. Perchiazzi G, Högman M, Rylander C, Giuliani R, Fiore T, Hedenstierna G (2001) Assessment of respiratory system mechanics by artificial neural networks: an exploratory study. J Appl Physiol 90:1817-1824
27. Murray JF, Matthay MA, Luce JM, Flick MR (1988) An expanded definition of the adult respiratory distress syndrome. Am Rev Respir Dis 138:720-723