Mechanical Ventilation with Lung Protective Strategies: What Works?

Critical Care Clinics

Volumn 27, Issue 3, 2011, Pages 469-486

  Haas, Carl F ^a  

^a UNIVERSITY OF MICHIGAN HOSPITALS   (United States)

Author keywords

Lung protective ventilation; Positive end expiratory pressure; Recruitment maneuver

Indexed keywords

VASODILATOR AGENT;

ACUTE LUNG INJURY; ADULT RESPIRATORY DISTRESS SYNDROME; ARTIFICIAL VENTILATION; BREATHING; COMPUTER ASSISTED TOMOGRAPHY; GAS EXCHANGE; HUMAN; HYPOXEMIA; LUNG BAROTRAUMA; LUNG CAPACITY; LUNG PROTECTION; LUNG PROTECTIVE VENTILATION; LUNG VENTILATION; PNEUMOTHORAX; POSITIVE END EXPIRATORY PRESSURE; PRESSURE CONTROL VENTILATION; PRIORITY JOURNAL; PROPHYLAXIS; REVIEW; THORAX RADIOGRAPHY; VENTILATOR INDUCED LUNG INJURY;

ACUTE LUNG INJURY; EVIDENCE-BASED MEDICINE; HUMANS; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; VENTILATOR-INDUCED LUNG INJURY;

EID: 79960145260     PISSN: 07490704     EISSN: 15578232     Source Type: Journal    
DOI: 10.1016/j.ccc.2011.05.008     Document Type: Review

References (79)

1. Carvalho C.R., de Paula Pinto Schettino G., Maranhao B., et al. Hyperoxia and lung disease. Curr Opin Pulm Med 1998, 4(5):300-304.
2. Durbin C.G., Wallace K.K. Oxygen toxicity in the critically ill patient. Respir Care 1993, 93(7):739-750.
3. Capellier G., Maupoil V., Boussat S., et al. Oxygen toxicity and tolerance. Minerva Anestesiol 1999, 65(6):388-392.
4. Parker J.C., Hernandez L.A., Peevy K.J. Mechanisms of ventilator-induced lung injury. Crit Care Med 1993, 21(1):131-143.
5. Boussarsar M., Thierry G., Jaber S., et al. Relationship between ventilatory settings and barotrauma in the acute respiratory distress syndrome. Intensive Care Med 2002, 28(4):406-413.
6. Gattinoni L., Caironi P., Pelosi P., et al. What has computed tomography taught us about the acute respiratory distress syndrome?. Am J Respir Crit Care Med 2001, 164(9):1701-1711.
7. Webb H.H., Tierney D.F. Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 1974, 110(5):556-565.
8. Dreyfuss D., Soler P., Basset G., et al. High inflation pressure pulmonary edema: respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988, 137(5):1159-1164.
9. Dreyfuss D., Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998, 157(1):294-323.
10. Murphy D.B., Cregg N., Tremblay L., et al. Adverse ventilatory strategy causes pulmonary-to-systemic translocation of endotoxin. Am J Respir Crit Care Med 2000, 162(1):27-33.
11. Slutsky A.S., Tremblay L.N. Multiple system organ failure: is mechanical ventilation a contributing factor?. Am J Respir Crit Care Med 1998, 157(6):1721-1725.
12. Tremblay L., Valenza F., Ribeiro S.P., et al. Injurious ventilatory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J Clin Invest 1997, 99(5):944-952.
13. Tremblay L.N., Slutsky A.S. Ventilator-induced injury: from barotrauma to biotrauma. Proc Assoc Am Physicians 1998, 110(6):482-488.
14. Whitehead T., Slutsky A.S. The pulmonary physician in critical care, 7: ventilator induced lung injury. Thorax 2002, 57(7):635-642.
15. Gattinoni L., Pelosi P., Crotti S., et al. Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome. Am J Respir Crit Care Med 1995, 151(6):1807-1814.
16. Brower R.G., Matthay M.A., Morris A., et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000, 342(18):1301-1308.
17. Haas C.F. Lung protective mechanical ventilation in acute respiratory distress syndrome. Respir Care Clin N Am 2003, 9(3):363-396.
18. MacIntrye N.R., Sessler C.N. Are there benefits or harm from pressure targeting during lung-protective ventilation?. Respir Care 2010, 55(2):175-180.
19. Vieillard-Baron A., Prin S., Augarde R., et al. Increasing respiratory rate to improve CO2 clearance during mechanical ventilation is not a panacea in acute respiratory failure. Crit Care Med 2002, 30(7):1407-1412.
20. Brower R.G., Lanken P.N., MacIntryre N., et al. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004, 351(4):327-336.
21. Ramnath V.R., Hess D.R., Thompson B.T. Conventional mechanical ventilation in acute lung injury and acute respiratory distress syndrome. Clin Chest Med 2006, 27(4):601-613.
22. Ramsey C.D., Funk D., Miller R.R., et al. Ventilator management for hypoxemic respiratory failure attributable to H1N1 novel swine origin influenza virus. Crit Care Med 2010, 38(Suppl 4):e58-e65.
23. Centers for Disease Control and Prevention Intensive-care patients with severe influenza A (H1N1) virus infection-Michigan, June 2009. Morb Mortal Wkly Rep 2009, 58(27):749-752.
24. Lachmann B. Open the lung and keep the lung open. Intensive Care Med 1992, 18(6):319-321.
25. Lachmann B. Open lung in ARDS. Minerva Anestesiol 2002, 68(9):637-642.
26. Suh G.Y., Yoon J.W., Park S.J., et al. A practical protocol for titrating "optimal" PEEP in acute lung injury: recruitment maneuver and PEEP decrement. J Korean Med Sci 2003, 18(3):349-354.
27. Tugrul S., Akinci O., Ozcan P.E., et al. Effects of sustained inflation and postinflation positive end-expiratory pressure in acute respiratory distress syndrome: focusing on pulmonary and extrapulmonary forms. Crit Care Med 2003, 31(3):738-744.
28. Toth I., Leiner T., Mikor A., et al. Hemodynamic and respiratory changes during lung recruitment and descending optimal positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care Med 2007, 35(3):787-793.
29. Takeuchi M., Imanaka H., Tachibana K., et al. Recruitment maneuver and high positive end-expiratory pressure improve hypoxemia in patients after pulmonary thromboendarterectomy for chronic pulmonary thromboembolism. Crit Care Med 2005, 33(9):2010-2014.
30. Gernoth C., Wagner G., Pelosi P., et al. Respiratory and haemodynamic changes during decremental open lung positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care 2009, 13(2):R59.
31. Povoa P., Almeida E., Fernandes A., et al. Evaluation of a recruitment maneuver with positive inspiratory pressure and high PEEP in patients with severe ARDS. Acta Anaesthesiol Scand 2004, 48(3):287-293.
32. Hodgson C.L., Tuxen D.V., Bailey M.J., et al. A positive response to a recruitment maneuver with PEEP titration in patients with ARDS, regardless of transient oxygen desaturation during the maneuver. J Intensive Care Med 2011, 26(1):41-49.
33. Borges J.B., Okamoto V.N., Matos G.F., et al. Reversibility of lung collapse and hypoxemia in early acute respiratory distress syndrome. Am J Respir Crit Care Med 2006, 174(3):268-278.
34. Hanson A., Gothberg S., Nilsson K., et al. VTCO2 and dynamic compliance-guided lung recruitment in surfactant-depleted piglets: a computed tomography study. Pediatr Crit Care Med 2009, 10(6):687-692.
35. Maisch S., Reissmann H., Fuellekrug B., et al. Compliance and dead space fraction indicate an optimal level of positive end-expiratory pressure after recruitment in anesthetized patients. Anesth Analg 2008, 106(1):175-181.
36. Tusman G., Bohm S.H., Suarez-Sipman F., et al. Lung recruitment and positive end-expiratory pressure have different effects on CO2 elimination in healthy and sick lungs. Anesth Analg 2010, 111(4):968-977.
37. Carvalho A.R., Jandre F.C., Pinto A.V., et al. Positive end-expiratory pressure at minimal respiratory elastance represents the best compromise between mechanical stress and lung aeration in oleic induced lung injury. Crit Care 2007, 11(4):R86.
38. Amato M.B., Barbas C.S., Medeiros D.M., et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998, 338(6):347-354.
39. Villar J., Kacmarek R.M., Perez-Mendez L., ARIES Network, et al. A high positive end-expiratory pressure, low tidal volume ventilation strategy improves outcome in persistent acute respiratory distress syndrome: a randomized, controlled trial. Crit Care Med 2006, 34(5):1311-1318.
40. Ranieri V.M., Suter P.M., Tortorella C., et al. Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA 1999, 282(1):54-61.
41. Caramez M.P., Kacmarek R.M., Helmy M., et al. A comparison of methods to identify open-lung PEEP. Intensive Care Med 2009, 35(4):740-747.
42. Albaiceta G.M., Luyando L.H., Parra D., et al. Inspiratory vs expiratory pressure-volume curves to set end-expiratory pressure in acute lung injury. Intensive Care Med 2005, 31(10):1370-1378.
43. Koefoed-Nielsen J., Andersen G., Barklin A., et al. Maximal hysteresis: a new method to set positive end-expiratory pressure in acute lung injury?. Acta Anaesthesiol Scand 2008, 52(5):641-649.
44. Koefoed-Nielsen J., Nielsen N.D., Kjaergaard A.J., et al. Alveolar recruitment can be predicted from airway pressure-lung volume loops: an experimental study in a porcine acute lung injury model. Crit Care 2008, 12(1):R7.
45. Demory D., Arnal J.M., Wysocki M., et al. Recruitability of the lung estimated by the pressure volume curve hysteresis in ARDS patients. Intensive Care Med 2008, 34(11):2019-2025.
46. Henzler D., Hochhausen N., Dembinski R., et al. Parameters derived from the pulmonary pressure-volume curve, but not the pressure-time curve, indicate recruitment in experimental lung injury. Anesth Analg 2007, 105(4):1072-1078.
47. Talmor D., Sarge T., Malhotra A., et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008, 359(20):2095-2104.
48. Talmor D.S., Fessler H.E. Are esophageal pressure measurements important in clinical decision-making in mechanically ventilated patients?. Respir Care 2010, 55(2):162-172.
49. Loring S.H., O'Donnell C.R., Behazin N., et al. Esophageal pressures in acute lung injury: do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress?. J Appl Physiol 2010, 108(3):515-522.
50. Hubmayer R.D. Is there a place for esophageal manometry in care of patient with injured lungs?. J Appl Physiol 2010, 108(3):481-482.
51. Talmor D., Sarge T., O'Donnell C.R., et al. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med 2006, 34(5):1389-1394.
52. Gattinoni L., Carlesso E., Brazzi L., et al. Positive end-expiratory pressure. Curr Opin Crit Care 2010, 16(1):39-44.
53. Kubiak B.D., Gatto L.A., Jimenez E.J., et al. Plateau and transpulmonary pressure with elevated intra-abdominal pressure or atelectasis. J Surg Res 2010, 159(1):e17-e24.
54. Ranieri V.M., Zhang H., Mascia L., et al. Pressure-time curve predicts minimally injurious ventilatory strategy in an isolated rat lung model. Anesthesiology 2000, 93(5):1320-1328.
55. Terragni P.P., Rosboch G.L., Lisi A., et al. How respiratory system mechanics may help in minimizing ventilator-induced lung injury in ARDS patients. Eur Respir J 2003, 22(Suppl 42):15s-21s.
56. Grasso S., Terragni P., Mascia L., et al. Airway pressure-time curve profile (stress-index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Crit Care Med 2004, 32(4):1018-1027.
57. Grasso S., Stripoli T., De Michele M., et al. ARDSnet ventilatory protocol and alveolar hyperinflation. Am J Respir Crit Care Med 2007, 176(8):761-767.
58. Formenti P., Graf J., Santos A., et al. Non-pulmonary factors strongly influence the stress index. Intensive Care Med 2011, 37(4):594-600.
59. Putensen C., Theuerkauf N., Zinderling J., et al. Meta-analysis: ventilation strategies and outcomes of the acute respiratory distress syndrome and acute lung injury. Ann Intern Med 2009, 151(8):566-576.
60. Briel M., Meade M., Mercat A., et al. Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome. JAMA 2010, 303(9):865-873.
61. Phoenix S.I., Paravastu S., Columb M., et al. Does a higher positive end expiratory pressure decrease mortality in acute respiratory distress syndrome? A systematic review and meta-analysis. Anesthesiology 2009, 110(5):1098-1105.
62. Oba Y., Thameen D., Zaza T. High levels of PEEP may improve survival in acute respiratory distress syndrome: a meta-analysis. Respir Med 2009, 103(8):1174-1181.
63. Dasenbrook E.C., Needham D.M., Brower R.G., et al. Higher positive end-expiratory pressure in patients with acute lung injury: a systematic review and meta-analysis. Respir Care 2011, 56(5):568-575.
64. Meade M.O., Cook D.J., Guyatt G.H., et al. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome. A randomized clinical trial. JAMA 2008, 299(6):637-645.
65. Mercat A., Richard J.C., Vielle B., et al. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome. A randomized controlled trail. JAMA 2008, 299(6):646-655.
66. Fan E., Wilcox M.E., Brower R.G., et al. Recruitment maneuvers for acute lung injury. Am J Respir Crit Care Med 2008, 178(11):1156-1163.
67. Kacmarek R.M., Villar J. Lung recruitment maneuvers during acute respiratory distress syndrome: is it useful?. Minerva Anestesiol 2011, 77(1):85-89.
68. Iannuzzi M., De Sio A., De Robertis E., et al. Different patterns of lung recruitment maneuvers in primary acute respiratory distress syndrome: effects on oxygenation and central hemodynamics. Minerva Anestesiol 2010, 76(9):692-698.
69. Rocco P.R., Pelosi P., de Abreu P. Pros and cons of recruitment maneuvers in acute lung injury and acute respiratory distress syndrome. Expert Rev Respir Med 2010, 4(4):479-489.
70. Kallet R.H., Campbell A.R., Alonso J.A., et al. The effects of pressure control versus volume control assisted ventilation on patient work of breathing in acute lung injury and acute respiratory distress syndrome. Respir Care 2000, 45(9):1085-1096.
71. Kacmarek R.M., Kirme M., Nishimura M., et al. The effects of applied vs auto-PEEP on local lung unit pressure and volume in a four-unit lung model. Chest 1995, 108(4):1075-1079.
72. Kurahashi K., Ohtsuka M., Usuda Y. Central airway occlusion underestimates intrinsic positive end-expiratory pressure: a numerical and physical simulation. Exp Lung Res 2009, 35(9):756-769.
73. Kondili E., Prinianakis G., Georgopoulos D. Patient-ventilator interaction. Br J Anaesth 2003, 91(1):106-119.
74. Arbour R. Cardiogenic oscillation and ventilator autotriggering in brain-dead patients: a case series. Am J Crit Care 2009, 18(5):488-495.
75. Imanaka H., Nishimura M., Takeuchi M., et al. Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation. Crit Care Med 2000, 28(2):402-407.
76. Arroliga A.C., Thompson B.T., Ancukiewicz M., et al. Use of sedatives, opioids, and neuromuscular blocking agents in patients with acute lung injury and acute respiratory distress syndrome. Crit Care Med 2008, 36(4):1083-1088.
77. Cheng I.W., Eisner M.D., Thompson B.T., Acute Respiratory Distress Syndrome Network, et al. Acute effects of tidal volume strategy on hemodynamics, fluid balance, and sedation in acute lung injury. Crit Care Med 2005, 33(1):63-70.
78. Papazin L., Forel J.M., Gacouin A., et al. Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 2010, 363(12):1107-1116.
79. Hess D.R., Thompson B.T. Patient-ventilator dyssynchrony during lung protective ventilation: what's a clinician to do?. Crit Care Med 2006, 34(1):231-233.