Can heterogeneity in ventilation be good?

Critical Care

Volumn 14, Issue 2, 2010, Pages

  Costa, Eduardo L V ^a,b   Amato, Marcelo B P ^b  

^a HOSPITAL SÍRIO LIBANÊS   (Brazil)

^b UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AERATION; ARTIFICIAL VENTILATION; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; HUMAN; INTENSIVE CARE; LUNG; LUNG ALVEOLUS; LUNG COLLAPSE; LUNG VENTILATION; LUNG VOLUME; NOTE; OXYGEN SUPPLY; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; VENTILATOR INDUCED LUNG INJURY; CRITICAL ILLNESS; DECISION MAKING; IMPEDANCE; LUNG INJURY; METHODOLOGY;

CHOICE BEHAVIOR; CRITICAL ILLNESS; ELECTRIC IMPEDANCE; HUMANS; LUNG INJURY; POSITIVE-PRESSURE RESPIRATION;

EID: 78149236338     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc8901     Document Type: Note

References (12)

1. Zhao Z, Steinmann D, Frerichs I, Guttmann J, Möller K. PEEP titration guided by ventilation homogeneity: a feasibility study using electrical impedance tomography. Crit Care 2010, 14:R8. 10.1186/cc8860, 20113520, 2875520.
2. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CR. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998, 338:347-354. 10.1056/NEJM199802053380602, 9449727.
3. Suarez-Sipmann F, Böhm SH, Tusman G, Pesch T, Thamm O, Reissmann H, Reske A, Magnusson A, Hedenstierna G. Use of dynamic compliance for open lung positive end-expiratory pressure titration in an experimental study. Crit Care Med 2007, 35:214-221. 10.1097/01.CCM.0000251131.40301.E2, 17110872.
4. Hedenstierna G, Tokics L, Strandberg A, Lundquist H, Brismar B. Correlation of gas exchange impairment to development of atelectasis during anaesthesia and muscle paralysis. Acta Anaesthesiol Scand 1986, 30:183-191. 10.1111/j.1399-6576.1986.tb02393.x, 3085429.
5. Borges JB, Okamoto VN, Matos GF, Caramez MP, Arantes PR, Barros F, Souza CE, Victorino JA, Kacmarek RM, Barbas CS, Carvalho CR, Amato MB. Reversibility of lung collapse and hypoxemia in early acute respiratory distress syndrome. Am J Respir Crit Care Med 2006, 174:268-278. 10.1164/rccm.200506-976OC, 16690982.
6. Costa EL, Borges JB, Melo A, Suarez-Sipmann F, Toufen C, Bohm SH, Amato MB. Bedside estimation of recruitable alveolar collapse and hyperdistension by electrical impedance tomography. Intensive Care Med 2009, 35:1132-1137. 10.1007/s00134-009-1447-y, 19255741.
7. Meier T, Luepschen H, Karsten J, Leibecke T, Grossherr M, Gehring H, Leonhardt S. Assessment of regional lung recruitment and derecruitment during a PEEP trial based on electrical impedance tomography. Intensive Care Med 2008, 34:543-550. 10.1007/s00134-007-0786-9, 17653529.
8. Terragni PP, Rosboch G, Tealdi A, Corno E, Menaldo E, Davini O, Gandini G, Herrmann P, Mascia L, Quintel M, Slutsky AS, Gattinoni L, Ranieri VM. Tidal hyperinflation during low tidal volume ventilation in acute respiratory distress syndrome. Am J Respir Crit Care Med 2007, 175:160-166. 10.1164/rccm.200607-915OC, 17038660.
9. Vawter DL, Matthews FL, West JB. Effect of shape and size of lung and chest wall on stresses in the lung. J Appl Physiol 1975, 39:9-17.
10. West JB, Matthews FL. Stresses, strains, and surface pressures in the lung caused by its weight. J Appl Physiol 1972, 32:332-345.
11. Hickling KG. Best compliance during a decremental, but not incremental, positive end-expiratory pressure trial is related to open-lung positive end-expiratory pressure: a mathematical model of acute respiratory distress syndrome lungs. Am J Respir Crit Care Med 2001, 163:69-78.
12. Zhao Z, Möller K, Steinmann D, Frerichs I, Guttmann J. Evaluation of an electrical impedance tomography-based Global Inhomogeneity Index for pulmonary ventilation distribution. Intensive Care Med 2009, 35:1900-1906. 10.1007/s00134-009-1589-y, 19652949.