Response to hypercapnic challenge is associated with successful weaning from prolonged mechanical ventilation due to brain stem lesions

Intensive Care Medicine

Volumn 35, Issue 1, 2009, Pages 108-114

  Wu, Yao Kuang ^a   Lee, Chih Hsin ^a   Shia, Ben Chang ^b   Tsai, Ying Huang ^c   Tsao, Thomas C Y ^d  

^a BUDDHIST TZU CHI GENERAL HOSPITAL   (Taiwan)

^b FU JEN CATHOLIC UNIVERSITY   (Taiwan)

^c CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^d CHUNG SHAN MEDICAL UNIVERSITY   (Taiwan)

Author keywords

Brain stem lesion; Hypercapnic challenge; P0.1; Prolonged mechanical ventilation

Indexed keywords

CARBON DIOXIDE;

ADULT; AGED; ARTICLE; ARTIFICIAL VENTILATION; BRAIN STEM INJURY; BREATHING RATE; CLINICAL ARTICLE; CONTROLLED STUDY; FEMALE; HUMAN; HYPERCAPNIA; LUNG MINUTE VOLUME; MALE; PARAMETERS OF MEASUREMENT AND ANALYSIS; TIDAL VOLUME; TREATMENT RESPONSE; WEANING;

ADULT; AGED; AGED, 80 AND OVER; BRAIN STEM INFARCTIONS; FEMALE; HUMANS; HYPERCAPNIA; MALE; MIDDLE AGED; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; VENTILATOR WEANING; YOUNG ADULT;

EID: 58549095242     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00134-008-1197-2     Document Type: Article

References (29)

1. NR MacIntyre SK Epstein S Carson D Scheinhorn K Christopher S Muldoon 2005 Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference Chest 128 3937 3954
2. PB Bach SS Carson A Leff 1998 Outcomes and resource utilization for patients with prolonged critical illness managed by university-based or community-based subspecialists Am J Respir Crit Care Med 158 1410 1415
3. AB Montgomery RH Holle SR Neagley DJ Pierson RB Schoene 1987 Prediction of successful ventilator weaning using airway occlusion pressure and hypercapnic challenge Chest 91 496 499
4. J Milic-Emili WA Whitelaw JP Derenne 1975 New tests to assess lung function: occlusion pressure-a simple measure of the respiratory center's output N Engl J Med 293 1029 1030
5. WA Whitelaw JP Derenne J Milic-Emili 1975 Occlusion pressure as a measure of respiratory center output in conscious man Respir Physiol 23 181 199
6. CS Sassoon TT Te CK Mahutte RW Light 1987 Airway occlusion pressure. An important indicator for successful weaning in patients with chronic obstructive pulmonary disease Am Rev Respir Dis 135 107 113
7. G Conti BR De P Pelaia S Benito M Rocco M Antonelli M Bufi C Mattia A Gasparetto 1992 Early prediction of successful weaning during pressure support ventilation in chronic obstructive pulmonary disease patients Crit Care Med 20 366 371
8. XJ Capdevila PF Perrigault PJ Perey JP Roustan F d'Athis 1995 Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for successful extubation following T-piece weaning trial Chest 108 482 489
9. EE Benarroch 2007 Brainstem respiratory chemosensitivity: new insights and clinical implications Neurology 68 2140 2143
10. M Izumizaki M Pokorski I Homma 2004 Role of the carotid bodies in chemosensory ventilatory responses in the anesthetized mouse J Appl Physiol 97 1401 1407
11. EN Bruce NS Cherniack 1987 Central chemoreceptors J Appl Physiol 62 389 402
12. B Caruana-Montaldo K Gleeson CW Zwillich 2000 The control of breathing in clinical practice Chest 117 205 225
13. R Kuhlen S Hausmann D Pappert K Slama R Rossaint K Falke 1995 A new method for P0.1 measurement using standard respiratory equipment Intensive Care Med 21 554 560
14. SK Epstein 1995 Etiology of extubation failure and the predictive value of the rapid shallow breathing index Am J Respir Crit Care Med 152 545 549
15. F Gandia J Blanco 1992 Evaluation of indexes predicting the outcome of ventilator weaning and value of adding supplemental inspiratory load Intensive Care Med 18 327 333
16. KL Yang MJ Tobin 1991 A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation N Engl J Med 324 1445 1450
17. JB De T Sharshar JP Lefaucheur FJ Authier I Durand-Zaleski M Boussarsar C Cerf E Renaud F Mesrati J Carlet JC Raphael H Outin S Bastuji-Garin 2002 Paresis acquired in the intensive care unit: a prospective multicenter study JAMA 288 2859 2867
18. JB De S Bastuji-Garin T Sharshar H Outin L Brochard 2004 Does ICU-acquired paresis lengthen weaning from mechanical ventilation? Intensive Care Med 30 1117 1121
19. JB De S Bastuji-Garin MC Durand I Malissin P Rodrigues C Cerf H Outin T Sharshar 2007 Respiratory weakness is associated with limb weakness and delayed weaning in critical illness Crit Care Med 35 2007 2015
20. J Garnacho-Montero R maya-Villar JL Garcia-Garmendia J Madrazo-Osuna C Ortiz-Leyba 2005 Effect of critical illness polyneuropathy on the withdrawal from mechanical ventilation and the length of stay in septic patients Crit Care Med 33 349 354
21. G Hilbert D Gruson L Portel F Vargas G Gbikpi-Benissan JP Cardinaud 1998 Airway occlusion pressure at 0.1 s (P0.1) after extubation: an early indicator of postextubation hypercapnic respiratory insufficiency Intensive Care Med 24 1277 1282
22. G Conti L Montini MA Pennisi F Cavaliere A Arcangeli MG Bocci R Proietti M Antonelli 2004 A prospective, blinded evaluation of indexes proposed to predict weaning from mechanical ventilation Intensive Care Med 30 830 836
23. PF Perrigault YH Pouzeratte S Jaber XJ Capdevila M Hayot G Boccara M Ramonatxo P Colson 1999 Changes in occlusion pressure (P0.1) and breathing pattern during pressure support ventilation Thorax 54 119 123
24. A Alberti F Gallo A Fongaro S Valenti A Rossi 1995 P0.1 is a useful parameter in setting the level of pressure support ventilation Intensive Care Med 21 547 553
25. I Vallverdu N Calaf M Subirana A Net S Benito J Mancebo 1998 Clinical characteristics, respiratory functional parameters, and outcome of a two-hour T-piece trial in patients weaning from mechanical ventilation Am J Respir Crit Care Med 158 1855 1862
26. A Baydur 1991 Respiratory muscle strength and control of ventilation in patients with neuromuscular disease Chest 99 330 338
27. D Gozal JH Ben-Ari RM Harper TG Keens 1995 Ventilatory responses to repeated short hypercapnic challenges J Appl Physiol 78 1374 1381
28. M Lopata FJ La MJ Evanich RV Lourenco 1977 Effects of flow-resistive loading on mouth occlusion pressure during CO2 rebreathing Am Rev Respir Dis 115 73 81
29. AM Namen EW Ely SB Tatter LD Case MA Lucia A Smith S Landry JA Wilson SS Glazier CL Branch DL Kelly DL Bowton EF Haponik 2001 Predictors of successful extubation in neurosurgical patients Am J Respir Crit Care Med 163 658 664