Pleural effusion in patients with acute lung injury: A CT scan study

Critical Care Medicine

Volumn 41, Issue 4, 2013, Pages 935-944

  Chiumello, Davide ^a   Marino, Antonella ^b   Cressoni, Massimo ^b   Mietto, Cristina ^b   Berto, Virna ^b   Gallazzi, Elisabetta ^b   Chiurazzi, Chiara ^b   Lazzerini, Marco ^a   Cadringher, Paolo ^b   Quintel, Michael ^c   Gattinoni, Luciano ^a,b  

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

^b UNIVERSITY OF MILAN   (Italy)

^c UNIVERSITY OF GÖTTINGEN   (Germany)

Author keywords

acute respiratory distress syndrome; gas exchange; lung CT scan; lung recruitability; pleural effusion; respiratory mechanics

Indexed keywords

ACUTE LUNG INJURY; ADULT; ARTICLE; BREATH HOLDING; BREATHING MECHANICS; BREATHING RATE; COMPUTER ASSISTED TOMOGRAPHY; FEMALE; HUMAN; LUNG COMPLIANCE; LUNG GAS EXCHANGE; LUNG HEMODYNAMICS; LUNG VENTILATION; LUNG VOLUME; LUNG WEIGHT; MAJOR CLINICAL STUDY; MALE; PLEURA EFFUSION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; RESPIRATORY DISTRESS; RESPIRATORY FAILURE; RETROSPECTIVE STUDY; THORAX WALL; TREATMENT RESPONSE;

ACID-BASE EQUILIBRIUM; AGE FACTORS; COMORBIDITY; FEMALE; HUMANS; INTENSIVE CARE; ITALY; MALE; PLEURAL EFFUSION; POSITIVE-PRESSURE RESPIRATION; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY MECHANICS; TIDAL VOLUME; TOMOGRAPHY, X-RAY COMPUTED;

EID: 84875807100     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e318275892c     Document Type: Article

References (31)

1. Mattison LE, Coppage L, Alderman DF, et al: Pleural effusions in the medical ICU: Prevalence, causes, and clinical implications. Chest 1997; 111:1018-1023
2. Azoulay E: Pleural effusions in the intensive care unit. Curr Opin Pulm Med 2003; 9:291-297
3. Light RW: Clinical practice. Pleural effusion. N Engl J Med 2002; 346:1971-1977
4. Aliberti S, Amir A, Peyrani P, et al: Incidence, etiology, timing, and risk factors for clinical failure in hospitalized patients with communityacquired pneumonia. Chest 2008; 134:955-962
5. Fartoukh M, Azoulay E, Galliot R, et al: Clinically documented pleural effusions in medical ICU patients: How useful is routine thoracentesis? Chest 2002; 121:178-184
6. Graf J: Pleural effusion in the mechanically ventilated patient. Curr Opin Crit Care 2009; 15:10-17
7. Doelken P, Abreu R, Sahn SA, et al: Effect of thoracentesis on respiratory mechanics and gas exchange in the patient receiving mechanical ventilation. Chest 2006; 130:1354-1361
8. Perpina M, Benlloch E, Marco V, et al: Effect of thoracentesis on pulmonary gas exchange. Thorax 1983; 38:747-750
9. Roch A, Bojan M, Michelet P, et al: Usefulness of ultrasonography in predicting pleural effusions > 500 mL in patients receiving mechanical ventilation. Chest 2005; 127:224-232
10. Talmor M, Hydo L, Gershenwald JG, et al: Beneficial effects of chest tube drainage of pleural effusion in acute respiratory failure refractory to positive end-expiratory pressure ventilation. Surgery 1998; 123:137-143
11. Agusti AG, Cardus J, Roca J, et al: Ventilation-perfusion mismatch in patients with pleural effusion: Effects of thoracentesis. Am J Respir Crit Care Med 1997; 156(4 Pt 1):1205-1209
12. Ahmed SH, Ouzounian SP, Dirusso S, et al: Hemodynamic and pulmonary changes after drainage of significant pleural effusions in critically ill, mechanically ventilated surgical patients. J Trauma 2004; 57:1184-1188
13. Brown NE, Zamel N, Aberman A: Changes in pulmonary mechanics and gas exchange following thoracocentesis. Chest 1978; 74:540-542
14. Dechman G, Sato J, Bates JH: Effect of pleural effusion on respiratory mechanics, and the influence of deep inflation, in dogs. Eur Respir J 1993; 6:219-224
15. Dechman G, Mishima M, Bates JH: Assessment of acute pleural effusion in dogs by computed tomography. J Appl Physiol 1994; 76:1993-1998
16. Krell WS, Rodarte JR: Effects of acute pleural effusion on respiratory system mechanics in dogs. J Appl Physiol 1985; 59:1458-1463
17. Graf J, Formenti P, Marini JJ: Consequences of pleural effusions for respiratory mechanics in ventilated patients. In: Yearbook of Intensive Care and Emergency Medicine. Vincent J-L (Ed.). Berlin/Heidelberg, Springer-Verlag, 2010, pp 164-174
18. Hall JB, White SR, Karrison T: Efficacy of daily routine chest radiographs in intubated, mechanically ventilated patients. Crit Care Med 1991; 19: 689-693
19. Gattinoni L, Caironi P, Cressoni M, et al: Lung recruitment in patients with the acute respiratory distress syndrome. N Engl J Med 2006; 354: 1775-1786
20. Bernard GR, Artigas A, Brigham KL, et al: The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination. Am J Respir Crit Care Med 1994; 149(3 Pt 1):818-824
21. Gattinoni L, D'Andrea L, Pelosi P, et al: Regional effects and mechanism of positive end-expiratory pressure in early adult respiratory distress syndrome. JAMA 1993; 269:2122-2127
22. Bohr C: Uber die Lungeatmung. Skand Arch Physiol 1891; 236-238
23. Zocchi L: Physiology and pathophysiology of pleural fluid turnover. Eur Respir J 2002; 20:1545-1558
24. Pelosi P, D'Andrea 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
25. Gattinoni L, Chiumello D, Carlesso E, et al: Bench-to-bedside review: Chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care 2004; 8:350-355
26. Graf J, Formenti P, Santos A, et al: Pleural effusion complicates monitoring of respiratory mechanics. Crit Care Med 2011; 39:2294-2299
27. Pelosi P, Goldner M, McKibben A, et al: Recruitment and derecruitment during acute respiratory failure: An experimental study. Am J Respir Crit Care Med 2001; 164:122-130
28. Cherniack RM, Farhi LE, Armstrong BW, et al: A comparison of esophageal and intrapleural pressure in man. J Appl Physiol 1955; 8:203-211
29. Gillespie DJ, Lai YL, Hyatt RE: Comparison of esophageal and pleural pressures in the anesthetized dog. J Appl Physiol 1973; 35:709-713
30. Higgs BD, Behrakis PK, Bevan DR, et al: Measurement of pleural pressure with esophageal balloon in anesthetized humans. Anesthesiology 1983; 59:340-343
31. Polese G, Rossi A, Appendini L, et al: Partitioning of respiratory mechanics in mechanically ventilated patients. J Appl Physiol 1991; 71: 2425-2433