Cardiovascular and pulmonary consequences of airway recruitment in preterm lambs

Journal of Applied Physiology

Volumn 106, Issue 4, 2009, Pages 1347-1355

  Polglase, Graeme R ^a   Hooper, Stuart B ^b   Gill, Andrew W ^a   Allison, Beth J ^b   McLean, Carryn J ^a   Nitsos, Ilias ^a   Pillow, J Jane ^a   Kluckow, Martin ^c  

^a UNIVERSITY OF WESTERN AUSTRALIA   (Australia)

^b MONASH UNIVERSITY   (Australia)

^c UNIVERSITY OF SYDNEY   (Australia)

Author keywords

Cardiovascular; Doppler echocardiography; Preterm; Pulmonary hemodynamics; Waveform analysis

Indexed keywords

ANIMAL EXPERIMENT; ARTERIAL PRESSURE; ARTICLE; BLOOD GAS ANALYSIS; BRAIN BLOOD FLOW; CARDIOPULMONARY HEMODYNAMICS; CONTROLLED STUDY; DOPPLER ECHOCARDIOGRAPHY; DUCTUS ARTERIOSUS; FEMALE; FLOW MEASUREMENT; HEART RATE; HEART RIGHT LEFT SHUNT; LAMB; LUNG BLOOD FLOW; MALE; NONHUMAN; OXYGENATION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PULMONARY ARTERY; SUPERIOR CAVA VEIN; SYSTOLIC BLOOD PRESSURE; TIDAL VOLUME; TURBULENT FLOW; WAVEFORM; ANIMAL; BLOOD PRESSURE; BREATHING MECHANICS; CARDIOVASCULAR FUNCTION; ECHOGRAPHY; LUNG; LUNG CIRCULATION; NEWBORN; PHYSIOLOGY; PREGNANCY; SHEEP;

ANIMALS; ANIMALS, NEWBORN; BLOOD GAS ANALYSIS; BLOOD PRESSURE; CARDIOVASCULAR PHYSIOLOGICAL PHENOMENA; ECHOCARDIOGRAPHY, DOPPLER; FEMALE; LUNG; MALE; POSITIVE-PRESSURE RESPIRATION; PREGNANCY; PULMONARY CIRCULATION; RESPIRATORY MECHANICS; SHEEP; TIDAL VOLUME; VENA CAVA, SUPERIOR;

EID: 66149144001     PISSN: 87507587     EISSN: 15221601     Source Type: Journal    
DOI: 10.1152/japplphysiol.91445.2008     Document Type: Article

References (23)

1. Crossley KJ, Morley CJ, Allison BJ, Polglase GR, Dargaville PA, Harding R, Hooper SB. Blood gases and pulmonary blood flow during resuscitation of very preterm lambs treated with antenatal betamethasone and/or Curosurf: effect of positive end-expiratory pressure. Pediatr Res 62: 37-42, 2007. (Pubitemid 46985847)
2. Davies P, Dewar J, Tynan M, Ward R. Post-natal developmental changes in the length-tension relationship of cat papillary muscles. J Physiol 253: 95-102, 1975.
3. Evans N, Kluckow M. Early determinants of right and left ventricular output in ventilated preterm infants. Arch Dis Child Fetal Neonatal Ed 74: F88-F94, 1996. (Pubitemid 126732402)
4. Evans N, Kluckow M, Simmons M, Osborn D. Which to measure, systemic or organ blood flow? Middle cerebral artery and superior vena cava flow in very preterm infants. Arch Dis Child Fetal Neonatal Ed 87: F181-F184, 2002. (Pubitemid 35252931)
5. Feihl F, Broccard AF. Interactions between respiration and systemic hemodynamics. I. Basic concepts. Intensive Care Med 35: 45-54, 2009.
6. Feihl F, Broccard AF. Interactions between respiration and systemic hemodynamics. II. Practical implications in critical care. Intensive Care Med 35: 198-205, 2009.
7. Groves AM, Kuschel CA, Knight DB, Skinner JR. Does retrograde diastolic flow in the descending aorta signify impaired systemic perfusion in preterm infants? Pediatr Res 63: 89-94, 2008.
8. Hausdorf G, Hellwege HH. Influence of positive end-expiratory pressure on cardiac performance in premature infants: a Doppler-echocardiographic study. Crit Care Med 15: 661-664, 1987. (Pubitemid 17094559)
9. Hunt RW, Evans N, Rieger I, Kluckow M. Low superior vena cava flow and neurodevelopment at 3 years in very preterm infants. J Pediatr 145: 588-592, 2004. (Pubitemid 39440934)
10. Klautz RJ, Teitel DF, Steendijk P, van Bel F, Baan J. Interaction between afterload and contractility in the newborn heart: evidence of homeometric autoregulation in the intact circulation. J Am Coll Cardiol 25: 1428-1435, 1995.
11. Kluckow M, Evans N. Low superior vena cava flow and intraventricular haemorrhage in preterm infants. Arch Dis Child Fetal Neonatal Ed 82: F188-F194, 2000. (Pubitemid 30313552)
12. Kluckow M, Evans N. Relationship between blood pressure and cardiac output in preterm infants requiring mechanical ventilation. J Pediatr 129: 506-512, 1996. (Pubitemid 27490786)
13. Kluckow M, Evans N. Superior vena cava flow in newborn infants: a novel marker of systemic blood flow. Arch Dis Child Fetal Neonatal Ed 82: F182-F187, 2000. (Pubitemid 30313551)
14. Mirro R, Busija D, Green R, Leffler C. Relationship between mean airway pressure, cardiac output, and organ blood flow with normal and decreased respiratory compliance. J Pediatr 111: 101-106, 1987. (Pubitemid 17092657)
15. Osborn DA, Evans N. Randomized trial of high-frequency oscillatory ventilation vs. conventional ventilation: effect on systemic blood flow in very preterm infants. J Pediatr 143: 192-198, 2003. (Pubitemid 37082950)
16. Polglase GR, Hooper SB. Role of intra-luminal pressure in regulating PBF in the fetus and after birth. Current Pediatric Reviews 2: 287-299, 2006.
17. Polglase GR, Morley CJ, Crossley KJ, Dargaville P, Harding R, Morgan DL, Hooper SB. Positive end-expiratory pressure differentially alters pulmonary hemodynamics and oxygenation in ventilated, very premature lambs. J Appl Physiol 99: 1453-1461, 2005. (Pubitemid 43014354)
18. Polglase GR, Moss TJ, Nitsos I, Allison BJ, Pillow JJ, Hooper SB. Differential effect of recruitment maneuvres on pulmonary blood flow and oxygenation during HFOV in preterm lambs. J Appl Physiol 105: 603-610, 2008.
19. Ranieri VM, Eissa NT, Corbeil C, Chasse M, Braidy J, Matar N, Milic-Emili J. Effects of positive end-expiratory pressure on alveolar recruitment and gas exchange in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 144: 544-551, 1991.
20. Rudolph AM. Fetal and neonatal pulmonary circulation. Annu Rev Physiol 41: 383-395, 1979.
21. Sehgal A, Mak W, Dunn M, Kelly E, Redington A, Whyte H, McCrindle B, McNamara P. Impact of prophylactic surfactant on the ductal arteriosus and hemodynamics. J Paediatr Child Health 44: A21, 2008.
22. Teitel DF. Physiologic development of the cardiovascular system in the fetus. In: Fetal and Neonatal Physiology, edited by Polin RA and Fox WW. Philadelphia, PA: Saunders, 1998, p. 827-836.
23. Trang TT, Tibballs J, Mercier JC, Beaufils F. Optimization of oxygen transport in mechanically ventilated newborns using oximetry and pulsed Doppler-derived cardiac output. Crit Care Med 16: 1094-1097, 1988. (Pubitemid 18267289)