Stress and strain within the lung

Current Opinion in Critical Care

Volumn 18, Issue 1, 2012, Pages 42-47

  Gattinoni, Luciano ^a,b   Carlesso, Eleonora ^a   Caironi, Pietro ^a,b  

^a UNIVERSITY OF MILAN   (Italy)

^b FONDAZIONE IRCCS CA GRANDA OSPEDALE MAGGIORE POLICLINICO   (Italy)

Author keywords

airway plateau pressure; lung stress and strain; lung volume; stress raisers

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; ARTIFICIAL VENTILATION; BODY WEIGHT; CLINICAL PRACTICE; HUMAN; LUNG; LUNG CAPACITY; LUNG PARENCHYMA; LUNG PRESSURE; LUNG STRESS; LUNG VOLUME; NONHUMAN; PHYSIOLOGY; REVIEW; STRESS; THORAX WALL; TIDAL VOLUME;

AIRWAY RESISTANCE; ALGORITHMS; BODY WEIGHT; HUMANS; LUNG COMPLIANCE; RESPIRATION, ARTIFICIAL; TIDAL VOLUME; TOTAL LUNG CAPACITY; VENTILATOR-INDUCED LUNG INJURY;

EID: 84855800635     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e32834f17d9     Document Type: Review

References (43)

1. Wilson TA, Solid mechanics. In: Handbook of physiology: a critical, comprehensive presentation of physiological knowledge and concepts. American Physiological Society. Baltimore, MD: Waverly; 1986. pp. 35-39.
2. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992; 18:319-321.
3. Roan E, Waters CM. What do we know about mechanical strain in lung alveoli? Am J Physiol Lung Cell Mol. Physiol 2011; 301:625-635.
4. Pelosi P, DAndrea L, Vitale G, et al. Vertical gradient of regional lung inflation in adult respiratory distress syndrome. Am J Respir Crit Care Med 1994; 149:8-13. (Pubitemid 24066089)
5. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008; 359:2095-2104.
6. Loring SH, ODonnell CR, 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; 108:515-522.
7. Talmor DS, Fessler HE. Are esophageal pressure measurements important in clinical decision-making in mechanically ventilated patients? Respir Care 2010; 55:162-172.
8. Brower RG, Hubmayr RD, Slutsky AS. Lung stress and strain in acute respiratory distress syndrome: good ideas for clinical management? Am J Respir Crit Care Med 2008; 178:323-324.
9. Hubmayr RD. Is there a place for esophageal manometry in the care of patients with injured lungs? J Appl Physiol 2010; 108:481-482.
10. Plataki M, Hubmayr RD. Should mechanical ventilation be guided by esophageal pressure measurements? Curr Opin Crit Care 2011; 17:275-280.
11. Chiumello D, Gallazzi E, Marino A, et al. A validation study of a new nasogastric polyfunctional catheter. Intensive Care Med 2011; 37:791-795.
12. Chiumello D, Carlesso E, Cadringher P, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 2008; 178:346-355.
13. Mentzelopoulos SD, Roussos C, Zakynthinos SG. Prone position reduces lung stress and strain in severe acute respiratory distress syndrome. Eur Respir J 2005; 25:534-544. (Pubitemid 40331186)
14. Brunner JX, Wysocki M. Is there an optimal breath pattern to minimize stress and strain during mechanical ventilation? Intensive Care Med 2009; 35:1479-1483.
15. Sundaresan A, Geoffrey CJ, Hann CE, Shaw GM. Dynamic functional residual capacity can be estimated using a stress-strain approach. Comput Methods Programs Biomed 2011; 101:135-143.
16. Pelosi P, Negrini D. Extracellular matrix and mechanical ventilation in healthy lungs: back to baro/volotrauma? Curr Opin Crit Care 2008; 14:16-21.
17. Weibel ER. The pathway for oxygen: structure and function in the mammalian respiratory system. Cambridge, MA: Harvard University Press; 1984 .
18. Toshima M, Ohtani Y, Ohtani O. Three-dimensional architecture of elastin and collagen fiber networks in the human and rat lung. Arch Histol Cytol 2004; 67:31-40. (Pubitemid 38508681)
19. Gattinoni L, Carlesso E, Cadringher P, et al. Physical and biological triggers of ventilator-induced lung injury and its prevention. Eur Respir J Suppl 2003; 47:15s-25s. (Pubitemid 37345687)
20. ONeill LAJ. TLRs play good cop, bad cop in the lung. Nat Med 2005; 11:1161-1162.
21. Jesudason R, Sato S, Parameswaran H, et al. Mechanical forces regulate elastase activity and binding site availability in lung elastin. Biophys J 2010; 99:3076-3083.
22. Gattinoni L, Protti A, Caironi P, Carlesso E. Ventilator-induced lung injury: the anatomical and physiological framework. Crit Care Med 2010; 38:S539-S548.
23. Acute Respiratory Distress Syndrome Network. 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; 342:1301-1308.
24. Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation: any safe threshold? Am J Respir Crit Care Med 2011; 183:1354-1362.
25. Gattinoni L, Pesenti A. The concept of baby lung. Intensive Care Med 2005; 31:776-784.
26. Hager DN, Krishnan JA, Hayden DL, Brower RG. Tidal volume reduction in patients with acute lung injury when plateau pressures are not high. Am J Respir Crit Care Med 2005; 172:1241-1245. (Pubitemid 43076561)
27. Mead J, Takishima T, Leith D. Stress distribution in lungs, a model of pulmonary elasticity. J Appl Physiol 1970; 28:596-608.
28. Kaczka DW, Cao K, Christensen GE, et al. Analysis of regional mechanics in canine lung injury using forced oscillations and 3D image registration. Ann Biomed Eng 2011; 39:1112-1124.
29. Rausch SM, Haberthur D, Stampanoni M, et al. Local strain distribution in real three-dimensional alveolar geometries. Ann Biomed. Eng 2011; 39:2835-2843.
30. Mattingley JS, Holets SR, Oeckler RA, et al. Sizing the lung of mechanically ventilated patients. Crit Care 2011; 15:R60.
31. Fanelli V, Ranieri VM. When pressure does not mean volume? Body mass index may account for the dissociation. Crit Care 2011; 15:143.
32. Patroniti N, Zangrillo A, Pappalardo F, et al. The Italian ECMO network experience during the 2#009 influenza A(H1N1) pandemic: preparation for severe respiratory emergency outbreaks. Intensive Care Med 2011; 37:1447-1457.
33. Cianchi G, Bonizzoli M, Pasquini A, et al. Ventilatory and ECMO treatment of H1N1-induced severe respiratory failure: results of an Italian referral ECMO center. BMC Pulm Med 2011; 11:2.
34. Nierhaus A, Frings D, Braune S, et al. Interventional lung assist enables lung protective mechanical ventilation in acute respiratory distress syndrome. Minerva Anestesiol 2011; 77:797-801.
35. Santiago VR, Rzezinski AF, Nardelli LM, et al. Recruitment maneuver in experimental acute lung injury: the role of alveolar collapse and edema. Crit Care Med 2010; 38:2207-2214.
36. Caironi P, Cressoni M, Chiumello D, et al. Lung opening and closing during ventilation of acute respiratory distress syndrome. Am J Respir Crit Care Med 2010; 181:578-586.
37. Hodgson CL, Tuxen DV, Davies AR, et al. A randomised controlled trial of an open lung strategy with staircase recruitment, titrated PEEP and targeted low airway pressures in patients with acute respiratory distress syndrome. Crit Care 2011; 15:R133.
38. Gattinoni L, Carlesso E, Brazzi L, Caironi P. Positive end-expiratory pressure. Curr Opin Crit Care 2010; 16:39-44.
39. Guerin C. The preventive role of higher PEEP in treating severely hypoxemic ARDS. Minerva Anestesiol 2011; 77:835-845.
40. Perchiazzi G, Rylander C, Vena A, et al. Lung regional stress and strain as a function of posture and ventilatory mode. J Appl Physiol 2011; 110:1374-1383.
41. Santana MC, Garcia CS, Xisto DG, et al. Prone position prevents regional alveolar hyperinflation and mechanical stress and strain in mild experimental acute lung injury. Respir Physiol Neurobiol 2009; 167:181-188.
42. 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: systematic review and meta-analysis. JAMA 2010; 303:865-873.
43. Gattinoni L, Carlesso E, Taccone P, et al. Prone positioning improves survival in severe ARDS: a pathophysiologic review and individual patient metaanalysis. Minerva Anestesiol 2010; 76:448-454.