The effects of mechanical ventilation on hepato-splanchnic perfusion

Current Opinion in Critical Care

Volumn 16, Issue 2, 2010, Pages 165-168

  Jakob, Stephan M ^a  

^a UNIVERSITY OF BERN   (Switzerland)

Author keywords

Airway pressure release ventilation; Hepato splanchnic perfusion; Lung recruitment maneuvers; Nursing; Positive end expiratory pressure

Indexed keywords

ABDOMINAL PRESSURE; ARTIFICIAL VENTILATION; BLOOD FLOW; CLINICAL RESEARCH; CRITICAL ILLNESS; HEPATOSPLANCHNIC PERFUSION; HUMAN; INTENSIVE CARE UNIT; LIVER PERFUSION; MULTIPLE ORGAN FAILURE; NONHUMAN; NURSING CARE; OXYGENATION; PATHOGENESIS; POSITIVE END EXPIRATORY PRESSURE; REVIEW;

HUMANS; LIVER; PERFUSION; POSITIVE-PRESSURE RESPIRATION; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; SPLANCHNIC CIRCULATION; TIDAL VOLUME;

EID: 77952282384     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e3283374b1c     Document Type: Review

References (35)

1. Mutlu GM, Mutlu EA, Factor P. GI complications in patients receiving mechanical ventilation. Chest 2001;119:1222-1241. (Pubitemid 32679452)
2. Cook D, Heyland D, Griffith L, et al. Risk factors for clinically important upper gastrointestinal bleeding in patients requiring mechanical ventilation. Canadian Critical Care Trials Group. Crit Care Med 1999;27:2812-2817. (Pubitemid 30027202)
3. Pinsky MR. The hemodynamic consequences of mechanical ventilation: an evolving story. Intensive Care Med 1997;23:493-503. (Pubitemid 27263060)
4. Dorinsky PM, Hamlin RL, Gadek JE. Alterations in regional blood flow during positive end-expiratory pressure ventilation. Crit Care Med 1987;15:106-113. (Pubitemid 17024270)
5. Nin N, Lorente JA, Fernández-Segoviano P, et al. High-tidal volume ventilation aggravates sepsis-induced multiorgan dysfunction in a dexamethasoneinhibitable manner. Shock 2009;31:429-434. Experimental study demonstrating how ventilation with high tidal volumes in bacterial sepsis upregulates inflammation and worsens organ dysfunction.
6. Stock MC, Downs JB, Frolicher DA. Airway pressure release ventilation. Crit Care Med 1987;15:462-466.
7. Hering R, Peters D, Zinserling J, et al. Effects of spontaneous breathing during airway pressure release ventilation on renal perfusion and function in patients with acute lung injury. Intensive Care Med 2002;28:1426-1433.
8. Hering R, Bolten JC, Kreyer S, et al. Spontaneous breathing during airway pressure release ventilation in experimental lung injury: effects on hepatic blood flow. Intensive Care Med 2008;34:523-527. (Pubitemid 351623034)
9. Sarkar S, Bhattacharya P, Kumar I, Mandal KS. Changes of splanchnic perfusion after applying positive end expiratory pressure in patients with acute respiratory distress syndrome. Indian J Crit Care Med 2009;13:12-16.
10. Holland A, Thuemer O, Schelenz C, et al. Positive end-expiratory pressure does not affect indocyanine green plasma disappearance rate or gastric mucosal perfusion after cardiac surgery. Eur J Anaesthesiol 2007;24:141-147. (Pubitemid 46058451)
11. Putensen C, Wrigge H, Hering R. The effects of mechanical ventilation on the gut and abdomen. Curr Opin Crit Care 2006;12:160-165.
12. Saner FH, Olde Damink SW, Pavlaković G, et al. Positive end-expiratory pressure induces liver congestion in living donor liver transplant patients: myth or fact. Transplantation 2008;85:1863-1866.
13. Aikawa P, Farsky SH, Oliveira MA, et al. Effects of different peep levels on mesenteric leukocyte-endothelial-endothelial interactions in rats during mechanical ventilation. Clinics (Sao Paulo) 2009;64:443-450.
14. Bouadma L, Schortgen F, Ricard JD, et al. Ventilation strategy affects cytokine release after mesenteric ischemia-reperfusion in rats. Crit Care Med 2004;32:1563-1569. (Pubitemid 38925186)
15. Claesson J, Lehtipalo S, Bergstrand U, et al. Negative mesenteric effects of lung recruitment maneuvers in oleic acid lung injury are transient and short lasting. Crit Care Med 2007;35:230-238. (Pubitemid 46035700)
16. Odenstedt H, Aneman A, Karason S, et al. Acute hemodynamic changes during lung recruitment in lavage and endotoxin-induced ALI. Intensive Care Med 2005;31:112-120. (Pubitemid 40174290)
17. Reinelt H, Radermacher P, Kiefer P, et al. Impact of exogenous betaadrenergic receptor stimulation on hepatosplanchnic oxygen kinetics and metabolic activity in septic shock. Crit Care Med 1999;27:325-331. (Pubitemid 29113542)
18. Van Haren FM, Rozendaal FW, van der Hoeven JG. The effect of vasopressin on gastric perfusion in catecholamine-dependent patients in septic shock. Chest 2003;124:2256-2260. (Pubitemid 38010597)
19. Hurtado FJ, Beron M, Olivera W, et al. Gastric intramucosal pH and intraluminal PCO2 during weaning from mechanical ventilation. Crit Care Med 2001;29:70-76. (Pubitemid 32125777)
20. Mohsenifar Z, Hay A, Hay J, et al. Gastric intramural pH as a predictor of success or failure in weaning patients from mechanical ventilation. Ann Intern Med 1993;119:794-798. (Pubitemid 24012644)
21. Jakob SM, Ruokonen E, Vuolteenaho O, et al. Splanchnic perfusion during hemodialysis: evidence for marginal tissue perfusion. Crit Care Med 2001;29:1393-1398. (Pubitemid 32641802)
22. Klein P, Kemper M, Weissman C, et al. Attenuation of the hemodynamic responses to chest physical therapy. Chest 1988;93:38-42. (Pubitemid 18037253)
23. Tyler DO, Winslow EH, Clark AP, et al. Effects of a 1-min back rub on mixed venous oxygen saturation and heart rate in critically ill patients. Heart Lung 1990;19:562-565. (Pubitemid 20315373)
24. Barker M, Adams S. An evaluation of a single chest physiotherapy treatment on mechanically ventilated patients with acute lung injury. Physiother Res Int 2002;7:157-169.
25. Jakob SM, Parviainen I, Ruokonen E, et al. Increased splanchnic oxygen extraction because of routine nursing procedures. Crit Care Med 2009;37:483-489.
26. Sabba C, Ferraioli G, Sarin SK, et al. Feasibility spectrum for Doppler flowmetry of splanchnic vessels. In normal and cirrhotic populations. J Ultrasound Med 1990;9:705-710.
27. Stevens PE, Bolsin S, Gwyther SJ, et al. Practical use of duplex Doppler analysis of the renal vasculature in critically ill patients. Lancet 1989;1:240-242. (Pubitemid 19045469)
28. Meierhenrich R, Wagner F, Schütz W, et al. The effects of thoracic epidural anesthesia on hepatic blood flow in patients under general anesthesia. Anesth Analg 2009;108:1331-1337.
29. Burkart DJ, Johnson CD, Ehman RL. Correlation of arterial and venous blood flow in the mesenteric system based on MR findings. 1993 ARRS Executive Council Award. Am J Roentgenol 1993;161:1279-1282.
30. Barthelmes D, Parviainen I, Vainio P, et al. Assessment of splanchnic blood flow using magnetic resonance imaging. Eur J Gastroenterol Hepatol 2009;21:693-700.
31. Fronek A, Ganz W. Measurement of flow in single blood vessels including cardiac output by local thermodilution. Circ Res 1960;8:175-182.
32. Ganz W, Tamura K, Marcus HS, et al. Measurement of coronary sinus blood flow by continuous thermodilution in man. Circulation 1971;44:181-195.
33. Vesely TM, Gherardini D, Gleed RD, et al. Use of a catheter-based system to measure blood flow in hemodialysis grafts during angioplasty procedures. J Vasc Interv Radiol 2002;13:371-378. (Pubitemid 34298815)
34. Itkin M, Trerotola SO, Stavropoulos SW, et al. Portal flow and arterioportal shunting after transjugular intrahepatic portosystemic shunt creation. J Vasc Interv Radiol 2006;17:55-62. (Pubitemid 44392033)
35. Ganter CC, Buser C, Haenggi M, et al. Inverse thermodilution with conventional pulmonary artery catheters for the assessment of cerebral, hepatic, renal, and femoral blood flow. Shock 2009;32:194-200.