The influence of physiotherapy and suction on respiratory deadspace in ventilated children

Intensive Care Medicine

Volumn 30, Issue 6, 2004, Pages 1152-1159

  Main, Eleanor ^a   Stocks, Janet ^b  

^a GREAT ORMOND STREET HOSPITAL   (United Kingdom)

^b UNIVERSITY COLLEGE LONDON   (United Kingdom)

Author keywords

Child; Intensive care unit; Physiotherapy; Respiratory deadspace; Respiratory function tests; Treatment outcome

Indexed keywords

CARBON DIOXIDE; SODIUM CHLORIDE;

ADOLESCENT; AIRWAY; ARTERIAL CARBON DIOXIDE TENSION; ARTICLE; ARTIFICIAL VENTILATION; BREATHING EXERCISE; CALCULATION; CATHETER; CHILD; CONTROLLED STUDY; END TIDAL CARBON DIOXIDE TENSION; ENDOTRACHEAL TUBE; EXPIRATORY RESERVE VOLUME; EXPIRED AIR; FEMALE; HOSPITAL; HOSPITAL PATIENT; HUMAN; INFANT; INTENSIVE CARE UNIT; INTERMETHOD COMPARISON; LUNG ALVEOLUS; LUNG DEAD SPACE; LUNG VOLUME; MAJOR CLINICAL STUDY; MALE; MEASUREMENT; METHODOLOGY; MONITOR; PARAMETER; RANDOMIZATION; SUCTION; TIDAL VOLUME; TIME;

EID: 3042642422     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-004-2261-1     Document Type: Article

References (37)

1. Fletcher R, Larsson A (1985) Gas exchange in the partially atelectatic lung. Anaesthesia 40:1186-1188
2. Holody B, Goldberg HS (1981) The effect of mechanical vibration physiotherapy on arterial oxygenation in acutely ill patients with atelectasis or pneumonia. Am Rev Respir Dis 124:372-375
3. Mackenzie CF, Shin B (1985) Cardiorespiratory function before and after chest physiotherapy in mechanically ventilated patients with post-traumatic respiratory failure. Crit Care Med 13:483-486
4. Hubble CL, Gentile MA, Tripp DS, Craig DM, Meliones JN, Cheifetz IM (2000) Deadspace to tidal volume ratio predicts successful extubation in infants and children. Crit Care Med 28:2034-2040
5. Arnold JH, Bower LK, Thompson JE (1995) Respiratory deadspace measurements in neonates with congenital diaphragmatic hernia. Crit Care Med 23:371-375
6. Kline JA, Israel EG, Michelson EA, O'Neil BJ, Plewa MC, Portelli DC (2001) Diagnostic accuracy of a bedside D-dimer assay and alveolar dead-space measurement for rapid exclusion of pulmonary embolism: a multicenter study. JAMA 285:761-768
7. 2 and Christian Bohr. Acta Anaesthesiol Scand 28:408-411
8. Main E, Castle RA, Newham D, Stocks J (2004) Respiratory physiotherapy versus suction: the effects on respiratory function in ventilated infants and children. Intensive Care Med 30 (http://dx.doi.org/10.1007/s00134-004-2262-0)
9. Main E, Elliott MJ, Schindler MB, Stocks J (2001) The effect of delayed sternal closure after cardiac surgery on respiratory function in ventilated infants. Crit Care Med 29:1798-1802
10. Main E, Castle R, Stocks J, James IG, Hatch DJ (2001) The influence of endotracheal tube leak on the assessment of respiratory function in ventilated children. Intensive Care Med 27:1788-1797
11. 2-volume plot. Intensive Care Med 25:705-713
12. Wenzel U, Wauer RR, Wagner MH, Schmalisch G (1999) In vitro and in vivo assessment of the Ventrak 1550/Capnogard 1265 for single breath carbon dioxide analysis in neonates. Br J Anaesth 83:503-510
13. Schmalisch G, Foitzik B, Wauer RR, Stocks J (2001) In vitro assessment of equipment and software used to assess tidal breathing parameters in infants. Eur Respir J 17:100-107
14. Castle RA, Dunne CJ, Mok Q, Wade AM, Stocks J (2002) Accuracy of displayed values of tidal volume in the pediatric intensive care unit. Crit Care Med. 30:2566-2574
15. Numa AH, Newth CJ (1996) Anatomic dead space in infants and children. J Appl Physiol 80:1485-1489
16. Sediame S, Zerah-Lancner F, d'Ortho MP, Adnot S, Harf A (1999) Accuracy of the i-STAT bedside blood gas analyser. Eur Respir J 14:214-217
17. Lum L, Saville A, Venkataraman ST (1998) Accuracy of physiologic dead-space measurement in intubated pediatric patients using a metabolic monitor: comparison with the Douglas bag method. Crit Care Med 26:760-764
18. Bland JM, Altman DG (1999) Measuring agreement in method comparison studies. Stat Methods Med Res 8:135-160
19. Puri GD, Singh H, Kaushik S, Jindal SK (1999) Physiological deadspace during normocapnic ventilation under anaesthesia. Anaesth Intensive Care 27:159-163
20. Casati A, Salvo I, Torri G, Calderini E (1997) Arterial to end-tidal carbon dioxide gradient and physiological dead space monitoring during general anaesthesia: effects of patients' position. Minerva Anestesiol 63:177-182
21. Hlastala MP, Berger AJ (1996) Physiology of respiration. Oxford University Press, New York
22. Fletcher R, Jonson B (1984) Deadspace and the single breath test for carbon dioxide during anaesthesia and artificial ventilation. Effects of tidal volume and frequency of respiration. Br J Anaesth 56:109-119
23. Vejlstrup NG, O'Neill M, Nagyova B, Dorrington KL (1997) Time course of hypoxic pulmonary vasoconstriction: a rabbit model of regional hypoxia. Am J Respir Crit Care Med 155:216-221
24. Bialecki RA, Fisher CS, Murdoch WW, Barthlow HG, Stow RB, Mallamaci M, Rumsey W (1998) Hypoxic exposure time dependently modulates endothelin-induced contraction of pulmonary artery smooth muscle. Am J Physiol 274:L552-L559
25. Domino KB, Cheney FW, Eisenstein BL, Hlastala MP (1992) Effect of regional alveolar hypoxia on gas exchange in pulmonary edema. Am Rev Respir Dis 145:340-347
26. Domino KB, Eisenstein BL, Tran T, Hlastala MP (1993) Increased pulmonary perfusion worsens ventilation-perfusion matching. Anesthesiology 79:817-826
27. Lonnqvist PA (1997) Inhaled nitric oxide in newborn and paediatric patients with pulmonary hypertension and moderate to severe impaired oxygenation: effects of doses of 3-100 parts per million. Intensive Care Med 23:773-779
28. Oyamada Y, Mori M, Kuwahira I, Aoki T, Suzuki Y, Suzuki K, Miyata A, Nishio K, Sato N, Naoki K, Kudo H, Ohta Y, Yamaguchi K (1997) Effects of active vasoconstriction and total flow on perfusion distribution in the rabbit lung. Am J Physiol 273:R1465-R1473
29. Alencar AM, Arold SP, Buldyrev SV, Majumdar A, Stamenovic D, Stanley HE, Suki B (2002) Physiology: dynamic instabilities in the inflating lung. Nature 417:809-811
30. Burrows FA (1989) Physiologic dead space, venous admixture and the arterial to end-tidal carbon dioxide difference in infants and children undergoing cardiac surgery. Anesthesiology 70:219-225
31. 1 in chronic bronchitis. Med J Aust 1:33-35
32. Olsson K, Greiff L, Karlefors F, Johansson S, Wollmer P (1999) Changes in airway dead space in response to methacholine provocation in normal subjects. Clin Physiol 19:426-432
33. 2 via nasal cannulas in spontaneously breathing children during the perioperative period. Crit Care Med 22:1805-1808
34. 2 and arterial blood gas analysis in paediatric patients undergoing controlled ventilation with a laryngeal mask or a face mask. Paediatr Anaesth 9:409-413
35. Lindahl SG, Yates AP, Hatch DJ (1987) Relationship between invasive and noninvasive measurements of gas exchange in anesthetized infants and children. Anesthesiology 66:168-175
36. Russell GB, Graybeal JM (1994) Reliability of the arterial to end-tidal carbon dioxide gradient in mechanically ventilated patients with multisystem trauma. J Trauma 36:317-322
37. Laffon M, Gouchet A, Sitbon P, Guicheteau V, Biyick E, Duchalais A, Mercier C (1998) Difference between arterial and end-tidal carbon dioxide pressures during laparoscopy in paediatric patients. Can J Anaesth 45:561-563