Lung recruitment maneuver depresses central hemodynamics in patients following cardiac surgery

Intensive Care Medicine

Volumn 31, Issue 9, 2005, Pages 1189-1194

  Nielsen, Jonas ^a   Østergaard, Morten ^a   Kjaergaard, Jesper ^a   Tingleff, Jens ^a   Berthelsen, Preben G ^a   Nygård, Eigil ^a   Larsson, Anders ^b  

^a GENTOFTE UNIVERSITY HOSPITAL   (Denmark)

^b AALBORG UNIVERSITY HOSPITAL   (Denmark)

Author keywords

Anesthesia; Cardiac output; Cardiac surgery; Lung recruitment maneuver; Pulse contour cardiac output; Transesophageal echocardiography

Indexed keywords

ADULT; AGED; AIRWAY PRESSURE; ARTERIAL GAS; ARTERIAL PRESSURE; ARTICLE; CALCULATION; CLINICAL ARTICLE; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; FEMALE; HEART OUTPUT; HEART SURGERY; HEMODYNAMICS; HUMAN; LUNG ARTERIOVENOUS SHUNT; LUNG FUNCTION; LUNG RECRUITMENT MANEUVER; MALE; STATISTICAL SIGNIFICANCE; TECHNIQUE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

AGED; CARDIAC OUTPUT; CORONARY ARTERY BYPASS; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HEART RATE; HUMANS; LUNG COMPLIANCE; MALE; MIDDLE AGED; POSTOPERATIVE PERIOD;

EID: 25144431849     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-005-2732-z     Document Type: Article

References (32)

1. Gale GD, Teasdale SJ, Sanders DE, Bradwell PJ, Russell A, Solaric B, York JE (1979) Pulmonary atelectasis and other respiratory complications after cardiopulmonary bypass and investigation of aetiological factors. Can Anaesth Soc J 26:15-21
2. Magnusson L, Zemgulis V, Wicky S, Tyden H, Thelin S, Hedenstierna G (1997) Atelectasis is a major cause of hypoxemia and shunt after cardiopulmonary bypass: an experimental study. Anesthesiology 87:1153-1163
3. Hachenberg T, Tenling A, Nystrom SO, Tyden H, Hedenstierna G (1994) Ventilation-perfusion inequality in patients undergoing cardiac surgery. Anesthesiology 80:509-519
4. Dyhr T, Laursen N, Larsson A (2002) 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 46:717-725
5. Dyhr T, Nygard E, Laursen N, Larsson A (2004) Both lung recruitment maneuver and PEEP are needed to increase oxygenation and lung volume after cardiac surgery. Acta Anaesthesiol Scand 48:187-197
6. Nunes S, Rothen HU, Brander L, Takala J, Jakob SM (2004) Changes in splanchnic circulation during an alveolar recruitment maneuver in healthy porcine lungs. Anesth Analg 98:1432-1438
7. Lim SC, Adams AB, Simonson DA, Dries DJ, Broccard AF, Hotchkiss JR, Marini JJ (2004) Transient hemodynamic effects of recruitment maneuvers in three experimental models of acute lung injury. Crit Care Med 32:2378-2384
8. Odenstedt H, Aneman A, Karason S, Stenqvist O, Lundin S (2005) Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI. Intensive Care Med 31:112-120
9. Rothen HU, Neumann P, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G (1999) Dynamics of re-expansion of atelectasis during general anaesthesia. Br J Anaesth 82:551-556
10. Fujino Y, Goddon S, Dolhnikoff M, Hess D, Amato MB, Kacmarek RM (2001) Repetitive high-pressure recruitment maneuvers required to maximally recruit lung in a sheep model of acute respiratory distress syndrome. Crit Care Med 29:1579-1586
11. Ryan T, Petrovic O, Dillon JC, Feigenbaum H, Conley MJ, Armstrong WF (1985) An echocardiographic index for separation of right ventricular volume and pressure overload. J Am Coll Cardiol 5:918-927
12. Lachmann B (1992) Open up the lung and keep the lung open. Intensive Care Med 18:319-321
13. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G (1993) Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth 71:788-795
14. Pinsky MR (1997) The hemodynamic consequences of mechanical ventilation: an evolving story. Intensive Care Med 23:493-503
15. Berg PC van den, Grimbergen CA, Spaan JA, Pinsky MR (1997) Positive pressure inspiration differentially affects right and left ventricular outputs in postoperative cardiac surgery patients. J Crit Care 12:56-65
16. Qvist J, Pontoppidan H, Wilson RS, Lowenstein E, Laver MB (1975) Hemodynamic responses to mechanical ventilation with PEEP: the effect of hypervolemia. Anesthesiology 42:45-55
17. Dhainaut JF, Devaux JY, Monsallier JF, Brunet F, Villemant D, Huyghebaert MF (1986) Mechanisms of decreased left ventricular preload during continuous positive pressure ventilation in ARDS. Chest 90:74-80
18. Grasso S, Mascia L, Del Turco M, Malacarne P, Giunta F, Brochard L, Slutsky AS, Ranieri VM (2002) Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology 96:795-802
19. Lapinsky SE, Aubin M, Mehta S, Boiteau P, Slutsky AS (1999) Safety and efficacy of a sustained inflation for alveolar recruitment in adults with respiratory failure. Intensive Care Med 25:1297-1301
20. Godje O, Hoke K, Goetz AE, Felbinger TW, Reuter DA, Reichart B, Friedl R, Hannekum A, Pfeiffer UJ (2002 Reliability of a new algorithm for continuous cardiac output determination by pulse-contour analysis during hemodynamic instability. Crit Care Med 30:52-58
21. Pinsky MR (2003) Probing the limits of arterial pulse contour analysis to predict preload responsiveness. Anesth Analg 96:1245-1247
22. Bland JM, Altman DG (1986) Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1:307-310
23. Teichholz LE, Kreulen T, Herman MV, Gorlin R (1976) Problems in echocardiographic volume determinations: echocardiographic-angiographic correlations in the presence of absence of asynergy. Am J Cardiol 37:7-11
24. Whittenberger JL, McGregor M, Berglund E, Borst HG (1960) Influence of state of inflation of the lung on pulmonary vascular resistance. J Appl Physiol 15:878-882
25. Brinker JA, Weiss JL, Lappe DL, Rabson JL, Summer WR, Permutt S, Weisfeldt ML (1980) Leftward septal displacement during right ventricular loading in man. Circulation 61:626-633
26. Jardin F, Farcot JC, Boisante L, Curien N, Margairaz A, Bourdarias JP (1981) Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 304:387-392
27. Jardin F, Delorme G, Hardy A, Auvert B, Beauchet A, Bourdarias JP (1990) Reevaluation of hemodynamic consequences of positive pressure ventilation: emphasis on cyclic right ventricular afterloading by mechanical lung inflation. Anesthesiology 72:966-970
28. Vieillard-Baron A, Loubieres Y, Schmitt JM, Page B, Dubourg O, Jardin F (1999) Cyclic changes in right ventricular output impedance during mechanical ventilation. J Appl Physiol 87:1644-1650
29. Versprille A, Jansen JR (1985) Mean systemic filling pressure as a characteristic pressure for venous return. Pflugers Arch 405:226-233
30. Vieillard-Baron A, Jardin F (2003) Why protect the right ventricle in patients with acute respiratory distress syndrome? Curr Opin Crit Care 9:15-21
31. Buda AJ, Pinsky MR, Ingels NB Jr, Daughters GT, Stinson EB, Alderman EL (1979) Effect of intrathoracic pressure on left ventricular performance. N Engl J Med 301:453-459
32. Campagna JA, Carter C (2003) Clinical relevance of the Bezold-Jarisch reflex. Anesthesiology 98:1250-1260