Tidal volume variability during airway pressure release ventilation: Case summary and theoretical analysis

Respiratory Care

Volumn 57, Issue 8, 2012, Pages 1325-1333

  Sasidhar, Madhu ^a   Chatburn, Robert L ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

Author keywords

Airway pressure release ventilation; Atelectrauma; Bi level; BPAP; Mechanical ventilation; Ventilator associated lung injury; Ventilator induced lung injury; Volutrauma

Indexed keywords

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE RELEASE VENTILATION; ARTICLE; ARTIFICIAL VENTILATION; CASE REPORT; COMPUTER ASSISTED TOMOGRAPHY; ENDOTRACHEAL INTUBATION; HUMAN; HYPOXEMIA; LUNG INFILTRATE; LUNG INJURY; LUNG PARENCHYMA; MALE; MATHEMATICAL MODEL; PLEURA EFFUSION; POSITIVE END EXPIRATORY PRESSURE; PRESSURE CONTROL CONTINUOUS MANDATORY VENTILATION; RESPIRATORY FAILURE; THORAX RADIOGRAPHY; TIDAL VOLUME; TRACHEOSTOMY; VENTILATOR; VENTILATOR ASSOCIATED LUNG INJURY;

CONTINUOUS POSITIVE AIRWAY PRESSURE; HUMANS; MALE; MODELS, THEORETICAL; PULMONARY GAS EXCHANGE; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY MECHANICS; TIDAL VOLUME; TOMOGRAPHY, X-RAY COMPUTED; YOUNG ADULT;

EID: 84864823302     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.01394     Document Type: Article

References (28)

1. Stock MC, Downs JB, Frolicher DA. Airway pressure release ventilation. Crit Care Med 1987;15(5):462-466.
2. Myers TR, MacIntyre NR. Respiratory controversies in the critical care setting. Does airway pressure release ventilation offer important new advantages in mechanical ventilator support? Respir Care 2007; 52(4):452-428; discussion 428-432.
3. Determann R, Royakkers A, Wolthuis E, Vlaar AP, Choi G, Paulus F, et al. Ventilation with lower tidal volumes as compared with conventional tidal volumes for patients without acute lung injury: a preventive randomized controlled trial. Crit Care 2010;14(1):R1-R1.
4. Gajic O, Dara SI, Mendez JL, Adsesanya AO, Festic E, Caples SM, et al. Ventilator-associated lung injury in patients without acute lung injury at the onset of mechanical ventilation. Crit Care Med 2004; 32(9):1817-1824.
5. Jia X, Malhotra A, Saeed M, Mark RG, Talmor D. Risk factors for ARDS in patients receiving mechanical ventilation for _ 48 h. Chest 2008;133(4):853-861.
6. Chatburn RL, Volsko TA. Documentation issues for mechanical ventilation in pressure-control modes. Respir Care 2011;55(12):1705-1716.
7. Chatburn RL, Mireles-Cabodevila E. Closed-loop control of mechanical ventilation: description and classification of targeting schemes. Respir Care 2011;56(1):85-102.
8. The 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(18):1301-1308.
9. Kallet RH. Patient-ventilator interaction during acute lung injury, and the role of spontaneous breathing. Part 2: airway pressure release ventilation. Respir Care 2011;56(2):190-206.
10. Porhomayon J, El-Solh AA, Nader ND. Applications of airway pressure release ventilation. Lung 2010;188(2):87-96.
11. Hess DR, Kacmarek RM. Essentials of mechanical ventilation, 2nd edition. New York: McGraw-Hill; 2002:16-25.
12. Habashi NM. Other approaches to open-lung ventilation: airway pressure release ventilation. Crit Care Med 2005;33(3 Suppl):S228-S240.
13. Baum M, Benzer H, Putensen C, Koller W, Putz G. [Biphasic positive airway pressure (BIPAP): a new form of augmented ventilation]. Anaesthesist 1989;38(9):452-458. Article in German.
14. Chatburn RL. Understanding mechanical ventilators. Expert Rev Respir Med 2010;4(6):809-819.
15. Modrykamien A, Chatburn RL, Ashton RW. Airway pressure release ventilation: An alternative mode of mechanical ventilation in acute respiratory distress syndrome. Cleve Clin J Med 2011;78(2):101-110.
16. Rose L, Hawkins M. Airway pressure release ventilation and biphasic positive airway pressure: a systematic review of definitional criteria. Intensive Care Med 2008;34(10):1766-1773.
17. McCunn M, Habashi NM. Airway pressure release ventilation in the acute respiratory distress syndrome following traumatic injury. Int Anesthesiol Clin 2002;40(3):89-102.
18. Yoshida T, Rinka H, Kaji A, Yoshimoto A, Arimoto H, Miyaichi T, Kan M. The impact of spontaneous ventilation on distribution of lung aeration in patients with acute respiratory distress syndrome: airway pressure release ventilation versus pressure support ventilation. Anesth Analg 2009;109(6):1892-1900.
19. Wrigge H, Zinserling J, Neumann P, Muders T, Magnusson A, Putensen C, Hedenstierna G. Spontaneous breathing with airway pressure release ventilation favors ventilation in dependent lung regions and counters cyclic alveolar collapse in oleic-acid-induced lung injury: a randomized controlled computed tomography trial. Crit Care 2005;9(6):R780-R789.
20. Marini JJ, Crooke PS 3rd, Truwit JD. Determinants and limits of pressure-preset ventilation: a mathematical model of pressure control. J Appl Physiol 1989;67(3):1081-1092.
21. Kallet RH, Katz JA. Respiratory system mechanics in acute respiratory distress syndrome. Respir Care Clin N Am 2003;9(3):297-319.
22. West JB. Respiratory physiology: the essentials. Baltimore: Williams and Wilkins; 1974:53.
23. Ward J. Medical gas therapy. In: Burton GG, Hodgkin JE, Ward JJ. Respiratory care: a guide to clinical practice. Philadelphia: Lippincott; 1997:366.
24. Grodins FS, Yamashiro SM. Respiratory function of the lung and its control. New York: Macmillan Publishing; 1978:58.
25. Sarge T, Talmor D. Targeting transpulmonary pressure to prevent ventilator induced lung injury. Minerva Anestesiol 2009;75(5):293-299.
26. Hess DR. How much PEEP: do we need another meta-analysis? Respir Care 2011;56(5):710-713.
27. Ramnath VR, Hess DR. Thompson BT. Conventioinal mechanical ventilation in acute lung injury and acute respiratory distress syndrome. Clin Chest Med 2006;27(4):601-613.
28. Daoud E, Chatburn RL. Auto-PEEP during APRV varies with the ventilator model (abstract). Respir Care 2010;55(11):1516.