Changes in Splanchnic Circulation during an Alveolar Recruitment Maneuver in Healthy Porcine Lungs

Anesthesia and Analgesia

Volumn 98, Issue 5, 2004, Pages 1432-1438

  Nunes, Silvia ^a   Rothen, Hans Ulrich ^a   Brander, Lukas ^a   Takala, Jukka ^a   Jakob, Stephan M ^a  

^a UNIVERSITY OF BERN   (Switzerland)

Author keywords

[No Author keywords available]

Indexed keywords

WATER;

AIRWAY PRESSURE; ANESTHESIA; ANIMAL EXPERIMENT; ANIMAL TISSUE; ARTERIAL PRESSURE; ARTERY BLOOD FLOW; ARTICLE; BLOOD GAS ANALYSIS; BREATHING MECHANICS; CAROTID ARTERY; CAROTID ARTERY FLOW; CELIAC ARTERY; CONTROLLED STUDY; FEMALE; HEMODYNAMICS; HEPATIC ARTERY; LUNG ALVEOLUS; LUNG INFLATION; MALE; MEASUREMENT; NONHUMAN; OXYGENATION; PORTAL VEIN BLOOD FLOW; PORTAL VEIN BLOOD PRESSURE; PRIORITY JOURNAL; RECORDING; RENAL ARTERY; SPLANCHNIC BLOOD FLOW; SPLEEN ARTERY; SUPERIOR MESENTERIC ARTERY; SWINE; TIME;

EID: 1942532962     PISSN: 00032999     EISSN: None     Source Type: Journal    
DOI: 10.1213/01.ANE.0000108967.39080.90     Document Type: Article

References (24)

1. The Acute Respiratory Distress Syndrome Network. 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 2000;342:1301-8.
2. Rothen HU, Sporre B, Englberg G, et al. Influence of gas composition on recurrence of atelectasis after a reexpansion maneuver during general anesthesia. Anesthesiology 1995;82:832-42.
3. Maggiore SM, Lellouche F, Pigeot J, et al. Prevention of endotracheal suctioning-induced alveolar derecruitment in acute lung injury. Am J Respir Crit Care Med 2003;167:1215-24.
4. Stenqvist O, Lindgren S, Karason S, et al. Suctioning: a lung model evaluation of closed suctioning systems. Acta Anaesthesiol Scand 2001;45:167-72.
5. 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.
6. Villagrá A, Ochagavía A, Vatua S, et al. Recruitment maneuvers during lung protective ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med 2002;165:165-70.
7. Singer M, Vermaat J, Hall G, et al. Hemodynamic effects of manual hyperinflation in critically ill mechanically ventilated patients. Chest 1994;106:1182-7.
8. Odenstedt H, Aneman A, Kárason S, et al. Impact of different lung recruitment maneuvers on oxygenation as well as central and regional circulation: effect of volume expansion. Intensive Care Med 2001;27(Suppl 2):S280.
9. Odenstedt H, Aneman A, Stenqvist O, Lundin S. Effects of lung recruitment maneuvers on oxygenation and circulation in endotoxin-induced ALI. Intensive Care Med 2002;28(Suppl 1): S187.
10. Bonnet F, Richard C, Glaser P, et al. Changes in hepatic flow induced by continuous positive pressure ventilation in critically ill patients. Crit Care Med 1982;10:703-5.
11. Winso O, Biber B, Gustavsson B, et al. Portal blood flow in man during graded positive end-expiratory pressure ventilation. Intensive Care Med 1986;12:80-5.
12. Berendes E, Lippert G, Loick HM, Brussel T. Effects of positive end-expiratory pressure ventilation on splanchnic oxygenation in humans. J Cardiothorac Vasc Anesth 1996;10:598-602.
13. Hamilton-Davies C, Mythen MG, Salmon JB, et al. Comparison of commonly used clinical indicators of hypovolemia with gastrointestinal tonometry. Intensive Care Med 1997;23:276-81.
14. Bein T, Kuhr L-P, Bele S, et al. Lung recruitment maneuver in patients with cerebral injury: effects on intracranial pressure and cerebral metabolism. Intensive Care Med 2002;28:554-8.
15. Rothen HU, Sporre B, Englberg G, et al. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth 1993;71:788-95.
16. Rothen HU, Neumann P, Berglund JE, et al. The dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth 1999;82:551-6.
17. Rossi A, Gottfried SB, Zocchi L, et al. Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation: the effect of intrinsic positive end-expiratory pressure. Am Rev Respir Dis 1985;131:672-7.
18. Truwitt JD, Marini JJ. Evaluation of thoracic mechanics in the ventilated patient. Part II: Applied mechanics. J Crit Care 1988; 3:199-213.
19. Svantesson C, Sigurdsson S, Larsson A, Jonson B. Effects of recruitment of collapsed lung units on the elastic pressure-volume relationship in anaesthetized healthy adults. Acta Anaesthesiol Scand 1998;42:1149-56.
20. Dyhr T, Laursen N, Larsson A. Effects of lung recruitment maneuver and positive end-expiratory pressure on lung volume, respiratory mechanics and alveolar gas mixing in patients ventilated after cardiac surgery. Acta Anaesthesiol Scand 2002; 46:717-25.
21. Lapinsky SE, Aubin M, Metha S, et al. Safety and efficacy of sustained inflation for alveolar recruitment in adults with respiratory failure. Intensive Care Med 1999;25:1297-301.
22. Cakar N, Akinci O, Tugrul S, et al. Recruitment maneuver: does it promote bacterial translocation? Crit Care Med 2002;30: 2103-6.
23. Kiefer P, Nunes S, Kosonen P, Takala J. Effect of positive end-expiratory pressure on splanchnic perfusion in acute lung injury. Intensive Care Med 2000;26:376-83.
24. Markström A, Hedlund A, Sjöstrand U, et al. Effects of sustained pressure application on compliance and blood gases in healthy porcine lungs. Acta Anaesthesiol Scand 2001;45: 1235-40.