Splanchnic ischemia during mechanical ventilation

Annals of Gastroenterology

Volumn 21, Issue 1, 2008, Pages 45-52

  Paramythiotis, D ^a   Kazamias, P ^a   Grosomanidis, V ^a   Kotzampassi, Katerina ^a,b  

^a AHEPA UNIVERSITY HOSPITAL   (Greece)

^b NONE   (Greece)

Author keywords

Abdominal organ hypoperfusion; Hepatic microcirculation; Hepatic pO2; Intestinal microcirculation; Intestinal mucosal pH; Laser Doppler flowmetry; Positive end expiratory pressure (PEEP)

Indexed keywords

ANIMAL EXPERIMENT; ANIMAL MODEL; ANIMAL TISSUE; ARTICLE; CENTRAL VENOUS PRESSURE; CONTROLLED STUDY; HEART HEMODYNAMICS; HEART OUTPUT; HEART RATE; HEPATIC ARTERY; INTESTINE ISCHEMIA; LIVER PARENCHYMA; LUNG ARTERY PRESSURE; LUNG HEMODYNAMICS; LUNG WEDGE PRESSURE; MALE; MEAN ARTERIAL PRESSURE; MICROCIRCULATION; NONHUMAN; OXYGEN TENSION; PH; PORTAL VEIN BLOOD FLOW; POSITIVE END EXPIRATORY PRESSURE; SPLANCHNIC ISCHEMIA; STATISTICAL SIGNIFICANCE; SUPERIOR MESENTERIC ARTERY; SWINE;

EID: 48249090513     PISSN: 11087471     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (34)

1. Fujita Y. Effects of PEEP on splanchnic hemodynamics and blood volume. Acta Anaesthesiol Scand 1993;37:427-31.
2. Brienza N, Revelly J-P, Ayuse T, Robotham, JL. Effects of PEEP on liver arterial and venous blood flows. Am J Respir Crit Care Med 1995; 152:504-10.
3. Matuschak GM, Pinsky MB, Rogers RM. Effects of positive end-expiratory pressure on hepatic blood flow and performance. J Appl Physiol 1987;62:1377-83.
4. Arvidsson D, Almquist P, Haglund U. Effects of positive end-expiratory pressure on splanchnic circulation and function in experimental peritonitis. Arch Surg 1991;126:631-6.
5. Love R, Choe E, Lippton H, Flint L, Steinberg S. Positive end-expiratory pressure decreases mesenteric blood flow despite normalization of cardiac output. J Trauma 1995;3 9:195-9.
6. Fournell A, Scheeren TW, Schwarte LA. PEEP decreases oxygenation of the intestinal mucosa despite normalization of cardiac output. Adv Exp Med Biol 1998;454:435-40.
7. Lehtipalo SBB, Amelov C, Frojse R, Johansson G, Winso O. PEEP can induce splanchnic ischemia during critical reductions in regional perfusion pressure. Intensive Care Med 2000;26:S375.
8. Landow L, Andersen LW. Splanchnic ischaemia and its role in multiple organ failure. Acta Anaesthesiol Scand 1994;38:626-39.
9. Nieuwenhuijzen GA, Goris RJ. The gut: the 'motor' of multiple organ dysfunction syndrome? Curr Opin Clin Nutr Metab Care 1999;2:399-404.
10. Gutierrez G, Palizas F, Doglio G, Wainsztein N, Gallesio A, Pacin J, Dubin A, Schiavi E, Jorge M, Pusajo J, Klein F, San Roman E, Dorfman B, Shottlender J, Giniger R. Gastric intramucosal pH as a therapeutic index of tissue oxygenation in critically ill patients. Lancet 1992;339:195-9.
11. De Backer D. The effects of positive end-expiratory pressure on the splanchnic circulation Intensive Care Med 2000;26:361-3.
12. Punt CD, Schreuder JJ, Jansen JR, Hocksel SA, Versprille A. Tracing best PEEP by applying PEEP as a RAW. Intensive Care Med 1998;24:821-8.
13. Uribe N, Garcia-Granero E, Millan M, Belda J, Calvete J, Garcia-Granero M. Effects of PEEP on residual vascularization in oesophageal substitution gastroplasty by surface oximetry-capnometry and photoplethysmography: an experimental study. Dig Surg 2003;20:24-31.
14. Pastores SM, Katz DP, Kvetan V Splanchnic ischemia and gut mucosal injury in sepsis and the multiple organ dysfunction syndrome. Am J Gastroenterol 1996;91:1697-710.
15. Beyer J, Beckenlechner P, Messmer K. The influence of PEEP ventilation on organ blood flow and peripheral oxygen delivery. Intensive Care Med 1982;8:75-80.
16. Berendes E, Lippert G, Loick HM, Bróssel T. Effects of positive end-expiratory pressure ventilation on splanchnic oxygenation in humans. J Cardiothorac Vasc Anesth 1996;10:598-602.
17. 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.
18. Pizov R, Cohen M, Weiss Y, Segal E, Cotev S, Perel A. Positive end-expiratory pressure-induced hemodynamic changes are reflected in the arterial pressure waveform. Crit Care Med 1996;24:1381-7.
19. Genovese J, Moskowitz M, Tarasiuk A, Graver LM, Scharf SM. Effects of continuous positive airway pressure on cardiac output in normal and hypervolemic unanesthetized pigs. Am J Respir Crit Care Med 1994;150:752-8.
20. Berglund JE, Halden E, Jakobson S, Landelius J. Echocardiographic analysis of cardiac function, during high PEEP ventilation. Intensive Care Med 1994; 20:174-180.
21. Bredenberg CE, Paskanik AM. Relation of portal hemodynamics to cardiac output during mechanical ventilation with PEEP. Ann Surg 1983; 198:218-22.
22. Acinci IO, Cakar N, Mutlu GM, Tugrul S, Ozcan PE, Gitmez M, Esen F, Telci L. Gastric intramucosal pH is stable during titration of positive end-expiratory pressure to improve oxygenation in acute respiratory distress syndrome. Crit Care 2003;7:R17-23.
23. Moreno AH, Burchal AR, van der Woude R, Burke JH. Respiratory regulation of splanchnic and systemic venous return. Am J Physiol 1967;213:455-5.
24. Brienza N, Ayuse T, Revelly JP, O'Donnel CP, Robotham JL. Effects of endotoxin on isolated porcine liver: pressure-flow analysis. J Appl Physiol 1995;78:784-92.
25. Fessler HE, Brower RG, Wise RA, Permutt S. Effects of positive end-expiratory pressure on the canine venous return curve. Am Rev Respir Dis 1992;146:4-10.
26. Takata M, Robotham JL. Effects of inspiratory diaphragmatic descent on inferior vena caval venous return. J Appl Physiol 1992;72:597-607.
27. Qvist J, Pontoppidan H, Wilson RS, Lowenstein E, Laver MB. Hemodynamic responses to mechanical ventilation with PEEP: the effect of hypervolemia. Anesthesiology 1975;42:45-55.
28. Johnson EE, Hedley-Whyte J. Continuous positive pressure ventilation and portal flow in dogs with pulmonary edema. J Appl Physiol 1972;33:385-9.
29. Aneman A, Eisenhofer G, Fandriks L, Olbe L, Dalenback J, Nitescu P, Friberg P. Splanchnic circulation and regional sympathetic outflow during preoperative PEEP ventilation in humans. Br J Anaesth 1999;82:838-42
30. Johnson D, Johannigman J, Branson R, Davis K jr, Hurst JM. The effect of low dose dopamine on gut hemodynamics during PEEP ventilation for acute lung injury. J Surg Res 1991;50:344-9.
31. Steinberg S, Azar G, Love R, Lee R, Choe E, Flint L. Dopexamine prevents depression of mesenteric blood flow caused by positive end-expiratory pressure in rats. Surgery 1996;120:597-602.
32. Lefrant JY, Juan JM, Bruelle P, Demaria Cohendy R, Aya G, Oliva-Lauraire MC, Peray P, Robert E, de La Coussaye JE, Eledjam J, Dauzat M. Regional blood flows are affected differently by PEEP when the abdomen is open or closed: an experimental rabbit model. Can J Anaesth 2002;49:302-8.
33. Sha M, Saito Y, Yokoyama K, Sawa T, Amaha K. Effects of continuous positive-pressure ventilation on hepatic blood flow and intrahepatic oxygen delivery in dogs. Crit Care Med 1987;15:1040-3.
34. Winsö O, Biber B, Gustavsson B, Holm C, Milsom I, Niemand D. Portal blood flow in man during graded positive end-expiratory pressure ventilation. Intensive Care Med 1986;12:80-5.