Low spatial resolution computed tomography underestimates lung overinflation resulting from positive pressure ventilation

Critical Care Medicine

Volumn 33, Issue 4, 2005, Pages 741-749

  Vieira, Silvia R R ^a   Nieszkowska, Ania ^a   Lu, Qin ^a   Elman, Marilia ^a   Sartorius, Alfonso ^a   Rouby, Jean Jacques ^a  

^a PITIÉ SALPÊTRIÈRE HOSPITAL   (France)

Author keywords

Acute lung injury; Computed tomography scanner; Lung overinflation; Positive end expiratory pressure; Ventilator induced lung injury

Indexed keywords

ADULT; ARTICLE; ARTIFICIAL VENTILATION; COMPUTER ASSISTED TOMOGRAPHY; COMPUTER PROGRAM; CONTROLLED STUDY; EXPIRATORY RESERVE VOLUME; FEMALE; HUMAN; INTENSIVE CARE UNIT; LUNG INFLATION; LUNG OVERINFLATION; MALE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; UNIVERSITY HOSPITAL;

ADULT; BLOOD PRESSURE; FEMALE; HUMANS; LUNG; MALE; MIDDLE AGED; OXYGEN; POSITIVE-PRESSURE RESPIRATION; RESPIRATORY DISTRESS SYNDROME, ADULT; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED;

EID: 17044401850     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000155786.53015.E7     Document Type: Article

References (43)

1. Rouby JJ, Puybasset L, Nieszkowska A, et al: Acute respiratory distress syndrome: lessons from computed tomography of the whole lung. Crit Care Med 2003; 31:S285-S295
2. Gattinoni L, Pelosi P, Crotti S, et al: Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome. Am J Respir Crit Care Med 1995; 151:1807-1814
3. Puybasset L, Muller JC, Cluzel P, et al: Regional distribution of gas and tissue in acute respiratory distress syndrome. III. Consequences for the effects of positive end-expiratory pressure. Intensive Care Med 2000; 26:1215-1227
4. Gattinoni L, Caironi P, Pelosi P, et al: What has computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med 2001; 164:1701-1711
5. Lu Q, Malbouisson LM, Mourgeon E, et al: Assessment of PEEP-induced reopening of collapsed lung regions in acute lung injury: Are one or three CT sections representative of the entire lung? Intensive Care Med 2001; 27:1504-1510
6. Malbouisson LM, Muller JC, Constantin JM, et al: Computed tomography assessment of positive end-expiratory pressure-induced alveolar recruitment in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2001; 163:1444-1450
7. Dambrosio M, Roupie E, Mollet JJ, et al: Effects of positive end-expiratory pressure and different tidal volumes on alveolar recruitment and hyperinflation. Anesthesiology 1997; 87:495-503
8. Vieira SR, Puybasset L, Richecoeur J, et al: A lung computed tomographic assessment of positive end-expiratory pressure-induced lung overdistension. Am J Respir Crit Care Med 1998; 158:1571-1577
9. 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
10. Rouby JJ, Lu Q, Vieira S: Pressure/volume curves and lung computed tomography in acute respiratory distress syndrome. Eur Respir J Suppl 2003; 42:27s-36s
11. Lim CM, Soon Lee S, Seoung Lee J, et al: Morphometric effects of the recruitment maneuver on saline-lavaged canine lungs. A computed tomographic analysis. Anesthesiology 2003; 99:71-80
12. Glazer HS, Anderson DJ, DiCroce JJ, et al: Anatomy of the major fissure: Evaluation with standard and thin-section CT. Radiology 1991; 180:839-844
13. Hopper KD, Kasales CJ, Wise SW, et al: The optimization of helical thoracic CT. J Comput Assist Tomogr 1998; 22:418-424
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. Puybasset L, Cluzel P, Gusman P, et al: Regional distribution of gas and tissue in acute respiratory distress syndrome. I. Consequences for lung morphology. Intensive Care Med 2000; 26:857-869
16. Rouby JJ, Puybasset L, Cluzel P, et al: Regional distribution of gas and tissue in acute respiratory distress syndrome. II. Physiological correlations and definition of an ARDS Severity Score. Intensive Care Med 2000; 26:1046-1056
17. 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
18. Nieszkowska A, Lu Q, Vieira S, et al: Incidence and regional distribution of lung overinflation during mechanical ventilation with positive end-expiratory pressure. Crit Care Med 2004; 32:1496-1503
19. Lu Q, Vieira SR, Richecoeur J, et al: A simple automated method for measuring pressure-volume curves during mechanical ventilation. Am J Respir Crit Care Med 1999; 159: 275-282
20. Umamaheswara Rao GS, Gallart L, Lawkoune J-D, et al: Factors influencing the uptake of inhaled nitric oxide in patients on mechanical ventilation. Anesthesiology 1997; 87:823-834
21. Puybasset L, Cluzel P, Chao N, et al: A computed tomography scan assessment of regional lung volume in acute lung injury. Am J Respir Crit Care Med 1998; 158:1644-1655
22. Malbouisson LM, Busch CJ, Puybasset L, et al: Role of the heart in the loss of aeration characterizing lower lobes in acute respiratory distress syndrome. Am J Respir Crit Care Med 2000; 161:2005-2012
23. Malbouisson LM, Preteux F, Puybasset L, et al: Validation of a software designed for computed tomographic (CT) measurement of lung water. Intensive Care Med 2001; 27:602-608
24. Mull RT: Mass estimates by computed tomography: Physical density from CT numbers. Am J Roentgenol 1984; 143:1101-1104
25. Bland JM, Altman DJ: Regression analysis. Lancet 1986; 1:908-909
26. Gevenois PA, Scillia P, de Maertelaer V, et al: The effects of age, sex, lung size, and hyperinflation on CT lung densitometry. AJR Am J Roentgenol 1996; 167:1169-1173
27. Gevenois PA, de Maertelaer V, De Vuyst P, et al: Comparison of computed density and macroscopic morphometry in pulmonary emphysema. Am J Respir Crit Care Med 1995; 152:653-657
28. Gevenois PA, Vuyst P, Maertelaer V, et al: Comparison of computed density and microscopic morphometry in pulmonary emphysema. Am J Respir Crit Care Med 1996; 154:187-192
29. Gevenois PA, De Vuyst P, Sy M, et al: Pulmonary emphysema: Quantitative CT during expiration. Radiology 1996; 199:825-829
30. Rouby JJ, Lu Q, Goldstein I: Selecting the right level of positive end-expiratory pressure in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2002; 165:1182-1186
31. Brower RG, Lanken PN, MacIntyre N, et al: Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351:327-336
32. Cohnen M, Poll LJ, Puettmann C, et al: Effective doses in standard protocols for multislice CT scanning. Eur Radiol 2003; 13:1148-1153
33. Mayo JR, Aldrich J, Muller NL: Radiation exposure at chest CT: A statement of the Fleischner Society. Radiology 2003; 228:15-21
34. Gainnier M, Michelet P, Thirion X, et al: Prone position and positive end-expiratory pressure in acute respiratory distress syndrome. Crit Care Med 2003; 31:2719-2726
35. Potkin RT, Hudson LD, Weaver LJ, et al: Effect of positive end-expiratory pressure on right and left ventricular function in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 1987; 135:307-311
36. Robotham JL, Takata M, Berman M, et al: Ejection fraction revisited. Anesthesiology 1991; 74:172-183
37. Romand JA, Shi W, Pinsky MR: Cardiopulmonary effects of positive pressure ventilation during acute lung injury. Chest 1995; 108:1041-1048
38. Vieillard-Baron A, Loubieres Y, Schmitt JM, et al: Cyclic changes in right ventricular output impedance during mechanical ventilation. J Appl Physiol 1999; 87:1644-1650
39. Schmitt JM, Vieillard-Baron A, Augarde R, et al: Positive end-expiratory pressure titration in acute respiratory distress syndrome patients: Impact on right ventricular outflow impedance evaluated by pulmonary artery Doppler flow velocity measurements. Crit Care Med 2001; 29:1154-1158
40. Jardin F, Farcot JC, Boisante L, et al: Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 1981; 304:387-392
41. Vieillard-Baron A, Schmitt JM, Augarde R, et al: Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation: Incidence, clinical implications, and prognosis. Crit Care Med 2001; 29:1551-1555
42. Grasso S, Mascia L, Del Turco M, et al: Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology 2002; 96:795-802
43. Teichgraber UK, Pinkernelle J, Jurgensen JS, et al: Portable computed tomography performed on the intensive care unit. Intensive Care Med 2003; 29:491-495