Volume-independent elastance: A useful parameter for open-lung positive end-expiratory pressure adjustment

Anesthesia and Analgesia

Volumn 116, Issue 3, 2013, Pages 627-633

  Carvalho, Alysson Roncally ^a   Bergamini, Bruno Curty ^a   Carvalho, Niedja S ^a   Cagido, Viviane R ^a   Neto, Alcendino C ^a   Jandre, Frederico C ^a   Zin, Walter A ^a   Giannella Neto, Antonio ^a  

^a FEDERAL UNIVERSITY OF RIO DE JANEIRO   (Brazil)

Author keywords

[No Author keywords available]

Indexed keywords

ESCHERICHIA COLI LIPOPOLYSACCHARIDE;

ACUTE LUNG INJURY; AIRWAY PRESSURE; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; COMPLIANCE (PHYSICAL); CONTROLLED STUDY; MALE; NONHUMAN; POSITIVE END EXPIRATORY PRESSURE; PRESSURE VOLUME CURVE; PRIORITY JOURNAL; RAT; THORAX WALL; TIDAL VOLUME;

ANIMALS; LUNG; MALE; POSITIVE-PRESSURE RESPIRATION; RATS; RATS, WISTAR; RESPIRATORY MECHANICS; TIDAL VOLUME;

EID: 84876684101     PISSN: 00032999     EISSN: 15267598     Source Type: Journal    
DOI: 10.1213/ANE.0b013e31824a95ca     Document Type: Article

References (44)

1. Suarez-Sipmann F, Bohm SH. Recruit the lung before titrating the right positive end-expiratory pressure to protect it. Crit Care 2009;13:134
2. Webb HH, Tierney DF. Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures: protection by positive end-expiratory pressure. Am Rev Respir Dis 1974;110:556-65
3. Dreyfuss D, Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998;157:294-323
4. Brower RG, Lanken PN, MacIntyre N, Matthay MA, Morris A, Ancukiewicz M, Schoenfeld D, Thompson BT. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004;351:327-36
5. Meade MO, Cook DJ, Guyatt GH, Slutsky AS, Arabi YM, Cooper DJ, Davies AR, Hand LE, Zhou Q, Thabane L, Austin P, Lapinsky S, Baxter A, Russell J, Skrobik Y, Ronco JJ, Stewart TE. 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 controlled trial. JAMA 2008;299:637-45
6. Mercat A, Richard JC, Vielle B, Jaber S, Osman D, Diehl JL, Lefrant JY, Prat G, Richecoeur J, Nieszkowska A, Gervais C, Baudot J, Bouadma L, Brochard L. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008;299:646-55
7. Gattinoni L, Caironi P. Refining ventilatory treatment for acute lung injury and acute respiratory distress syndrome. JAMA 2008;299:691-3
8. Gattinoni L, Carlesso E, Brazzi L, Caironi P. Positive end-expiratory pressure. Curr Opin Crit Care 2010;16:39-44
9. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992;18:319-21
10. Harris RS, Hess DR, Venegas JG. An objective analysis of the pressure-volume curve in the acute respiratory distress syndrome. Am J Respir Crit Care Med 2000;161:432-9
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. Suter PM, Fairley HB, Isenberg MD. Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 1975;292:284-9
13. Suter PM, Fairley HB, Isenberg MD. Effect of tidal volume and positive end-expiratory pressure on compliance during mechanical ventilation. Chest 1978;73:158-62
14. Dries DJ, Marini JJ. Optimized positive end-expiratory pressure: an elusive target. Crit Care Med 2002;30:1159-60
15. Kano S, Lanteri CJ, Duncan AW, Sly PD. Influence of nonlinearities on estimates of respiratory mechanics using multilinear regression analysis. J Appl Physiol 1994;77:1185-97
16. Carvalho AR, Spieth PM, Pelosi P, Vidal Melo MF, Koch T, Jandre FC, Giannella-Neto A, de Abreu MG. Ability of dynamic airway pressure curve profile and elastance for positive end-expiratory pressure titration. Intensive Care Med 2008;34:2291-9
17. Venegas JG, Harris RS, Simon BA. A comprehensive equation for the pulmonary pressure-volume curve. J Appl Physiol 1998;84:389-95
18. Wald A, Jason D, Murphy TW, Mazzia VD. A computer system for respiratory parameters. Comput Biomed Res 1969;2:411-29
19. Bersten AD. Measurement of overinflation by multiple linear regression analysis in patients with acute lung injury. Eur Respir J 1998;12:526-32
20. Bland JM, Altman DG. Statistical methods for assessing agreement between two methods of clinical measurements. Lancet 1986;2:307-10
21. McIntyre RW, Laws AK, Ramachandran PR. Positive expiratory pressure plateau: improved gas exchange during mechanical ventilation. Can Anaesth Soc J 1969;16:477-86
22. Kumar A, Falke KJ, Geffin B, Aldredge CF, Laver MB, Lowenstein E, Pontoppidan H. Continuous positive-pressure ventilation in acute respiratory failure. N Engl J Med 1970;283:1430-6
23. Falke CJ, Pontoppidan H, Kumar A, Leith DE, Geffin A, Laver MB. Ventilation with end-expiratory pressure in acute lung disease. J Clin Invest 1972;51:2315-23
24. Lutch JS, Murray JF. Continuous positive-pressure ventilation: effects on systemic oxygen transport and tissue oxygenation. Ann Intern Med 1972;76:193-202
25. Neidhart PP, Suter PM. Changes of right ventricular function with positive end-expiratory pressure (PEEP) in man. Intensive Care Med 1988;14:471-3
26. Jardin F, Farcot JC, Boisante L, Curien N, Margairaz A, Bourdarias JP. Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 1981;304:387-92
27. Wallis TW, Robotham JL, Compean R, Kindred MK. Mechanical heart-lung interaction with positive end-expiratory pressure. J Appl Physiol 1983;54:1039-47
28. Kumar A, Pontoppidan H, Falke KJ, Wilson RS, Laver MB. Pulmonary barotrauma during mechanical ventilation. Crit Care Med 1973;1:181-6
29. Sugerman HJ, Rogers RM, Miller LD. Positive end-expiratory pressure (PEEP): indications and physiologic considerations. Chest 1972;62:86S-94S
30. 2 settings in adults? Respir Care 2007;52:461-75
31. Takeuchi M, Goddon S, Dolhnikoff M, Shimaoka M, Hess DR, Amato MB, Kacmarek RM. Set positive end-expiratory pressure during protective ventilation affects lung injury. Anesthesiology 2002;97:682-92
32. Vieira SR, Puybasset L, Lu Q, Richecoeur J, Cluzel P, Coriat P, Rouby JJ. A scanographic assessment of pulmonary morphology in acute lung injury: significance of the lower inflection point detected on the lung pressure-volume curve. Am J Respir Crit Care Med 1999;159:1612-23
33. Holzapfel L, Robert D, Perrin F, Blanc PL, Palmier B, Guerin C. Static pressure-volume curves and effect of positive end-expiratory pressure on gas exchange in adult respiratory distress syndrome. Crit Care Med 1983;11:591-7
34. Bindslev L, Hedenstierna G, Santesson J, Norlander O, Gram I. Airway closure during anaesthesia, and its prevention by positive end expiratory pressure. Acta Anaesthesiol Scand 1980;24:199-205
35. Albaiceta GM, Blanch L, Lucangelo U. Static pressure-volume curves of the respiratory system: were they just a passing fad? Curr Opin Crit Care 2008;14:80-6
36. Jandre FC, Pino AV, Lacorte I, Soares JHN, Giannella-Neto A. A closed-loop mechanical ventilation controller with explicit objective functions. IEEE Trans Biomed Eng 2004;51:823-31
37. Carvalho AR, Jandre FC, Pino AV, Bozza FA, Saluh JI, Rodrigues R, Soares JH, Giannella-Neto A. Effects of descending positive end-expiratory pressure on lung mechanics and aeration in healthy anaesthetized piglets. Crit Care 2006;10:R122
38. Carvalho AR, Jandre FC, Pino AV, Bozza FA, Salluh J, Rodrigues R, Ascoli FO, Giannella-Neto A. Positive end-expiratory pressure at minimal respiratory elastance represents the best compromise between mechanical stress and lung aeration in oleic acid induced lung injury. Crit Care 2007;11:R86
39. Pino AV, Roncally A, Lima F, Bozza FA, Salluh J, Ascoli F, Neves J, Jandre FC, Giannella-Neto A. Automatic ventilation control to minimize ventilator induced lung injury. IFMBE News 2004;69:49-511
40. Matute-Bello G, Frevert CW, Martin TR. Animal models of acute lung injury. Am J Physiol Lung Cell Mol Physiol 2008;295:L379-99
41. Menezes SL, Bozza PT, Neto HC, Laranjeira AP, Negri EM, Capelozzi VL, Zin WA, Rocco PR. Pulmonary and extrapulmonary acute lung injury: inflammatory and ultrastructural analyses. J Appl Physiol 2005;98:1777-83
42. Bates JHT, Baconnier P, Milic-Emili J. A theoretical analysis of interrupter technique for measuring respiratory mechanics. J Appl Physiol 1988;64:2204-14
43. Similowski T, Levy P, Corbeil C, Albala M, Pariente R, Derenne J P, Bates JH, Jonson B, Milic-Emili J. Viscoelastic behavior of lung and chest wall in dogs determined by flow interruption. J Appl Physiol 1989;67:2219-29
44. Bates JH, Brown KA, Kochi T. Respiratory mechanics in the normal dog determined by expiratory flow interruption. J Appl Physiol 1989;67:2276-85