Ventilator auto-cycling from cardiogenic oscillations: Case report and review of literature

Nursing in Critical Care

Volumn 18, Issue 5, 2013, Pages 222-228

  Noujeim, Carlos ^a   Bouakl, Imad ^b   El Khatib, Mohamad ^b   Bou Khalil, Pierre ^b  

^a Tannourine Governmental Hospital   (Lebanon)

^b AMERICAN UNIVERSITY OF BEIRUT   (Lebanon)

Author keywords

Brain death; Cardiogenic oscillations; Ventilator auto cycling

Indexed keywords

ADULT; ARTICLE; ARTIFICIAL VENTILATION; BRAIN DEATH; CARDIOGENIC OSCILLATIONS; CASE REPORT; FEMALE; HUMAN; MECHANICAL VENTILATOR; POSITIVE END EXPIRATORY PRESSURE; VENTILATOR AUTO-CYCLING;

BRAIN DEATH; CARDIOGENIC OSCILLATIONS; VENTILATOR AUTO-CYCLING;

ADULT; BRAIN DEATH; FEMALE; HUMANS; POSITIVE-PRESSURE RESPIRATION; VENTILATOR WEANING; VENTILATORS, MECHANICAL;

EID: 84882911510     PISSN: 13621017     EISSN: 14785153     Source Type: Journal    
DOI: 10.1111/nicc.12029     Document Type: Article

References (41)

1. American Thoracic Society/European Respiratory Society (ATS/ERS). (2002). ATS/ERS Statement on respiratory muscle testing. American Journal of Respiratory and Critical Care Medicine; 166: 518-624.
2. Arbour R. (2005). Clinical management of the organ donor. AACN Clinical Issues; 16: 551-580 quiz 600-1.
3. Arbour R. (2009). Cardiogenic oscillation and ventilator autotriggering in brain-dead patients: a case series. American Journal of Critical Care; 18: 488-495.
4. Arbour RB. (2012). Confounding factors in brain death: cardiogenic ventilator autotriggering and implications for organ transplantation. Intensive & Critical Care Nursing; 28: 321-328.
5. Aslanian P, El Atrous S, Isabey D, Valente E, Corsi D, Harf A, Lemaire F, Brochard L. (1998). Effects of flow triggering on breathing effort during partial ventilatory support. American Journal of Respiratory and Critical Care Medicine; 157: 135-143.
6. Beck J, Reilly M, Grasselli G, Mirabella L, Slutsky AS, Dunn MS, Sinderby C. (2009). Patient-ventilator interaction during neurally adjusted ventilatory assist in low birth weight infants. Pediatric Research; 65: 663-668.
7. Bohatyrewicz R, Walecka A, Bohatyrewicz A, Zukowski M, Kepinski S, Marzec-Lewenstein E, Sawicki M, Kordowski J. (2007). Unusual movements, "spontaneous" breathing, and unclear cerebral vessels sonography in a brain-dead patient: a case report. Transplantation Proceedings; 39: 2707-2708.
8. Chui PT, Joynt GM, OH TE. (1995). Severe hyperventilation and respiratory alkalosis during pressure-support ventilation: report of a hazard. Anaesthesia; 50: 978-980.
9. Cole RP. (2003). Cardiogenic oscillations and apparent ventilation in suspected brain death. Resuscitation; 56: 335.
10. Dodd-Sullivan R, Quirin J, Newhart J. (2011). Ventilator autotriggering: a caution in brain death diagnosis. Progress in Transplantation; 21: 152-155.
11. Fenstermacher D, Hong D. (2004). Mechanical ventilation: what have we learned? Critical Care Nursing Quarterly; 27: 258-294.
12. France TE, Garnett AR, Grooms D. (2012). Inadvertent triggering of the ventilator caused by surgically placed pacer wires. Respiratory Care; 57: 1334-1336.
13. Georgopoulos D, Prinianakis G, Kondili E. (2006). Bedside waveforms interpretation as a tool to identify patient-ventilator asynchronies. Intensive Care Medicine; 32: 34-47.
14. Goulet R, Hess D, Kacmarek RM. (1997). Pressure vs flow triggering during pressure support ventilation. Chest; 111: 1649-1653.
15. Harboe S, Hjalmarsson S, Soreide E. (2001). Autocycling and increase in intrinsic positive end-expiratory pressure during mechanical ventilation. Acta Anaesthesiologica Scandinavica; 45: 1295-1297.
16. Hess DR. (2005). Ventilator waveforms and the physiology of pressure support ventilation. Respiratory Care; 50: 166-186 discussion 183-6.
17. Hill LL, Pearl RG. (2000). Flow triggering, pressure triggering, and autotriggering during mechanical ventilation. Critical Care Medicine; 28: 579-581.
18. Holt TB. (2001). Cardiogenic triggering observed in a patient with acute respiratory distress syndrome. Respiratory Care; 46: 1054-1055.
19. Imanaka H, Nishimura M, Takeuchi M, Kimball WR, Yahagi N, Kumon K. (2000). Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation. Critical Care Medicine; 28: 402-407.
20. Kondili E, Xirouchaki N, Georgopoulos D. (2007). Modulation and treatment of patient-ventilator dyssynchrony. Current Opinion in Critical Care; 13: 84-89.
21. Mcgee WT, Mailloux P. (2011). Ventilator autocycling and delayed recognition of brain death. Neurocritical Care; 14: 267-271.
22. Ng H, Tan K. (2001). Brainstem death and ventilator trigger settings. Anaesthesia; 56: 85-86.
23. Nilsestuen JO, Hargett KD. (2005). Using ventilator graphics to identify patient-ventilator asynchrony. Respiratory Care; 50: 202-234: discussion 232-4.
24. Nishimura M, Imanaka H, Yoshiya I, Kacmarek RM. (1994). Comparison of inspiratory work of breathing between flow-triggered and pressure-triggered demand flow systems in rabbits. Critical Care Medicine; 22: 1002-1009.
25. Pruitt RF, Messick WJ, Thomason MH. (1996). Respiratory alkalosis caused by assist control mechanical ventilation in a patient with a bronchopleural fistula. The Journal of Trauma; 40: 481-482.
26. Sager JS, Eiger G, Fuchs BD. (2003). Ventilator auto-triggering in a patient with tuberculous bronchopleural fistula. Respiratory Care; 48: 519-521.
27. Sassoon CS, Del Rosario N, Fei R, Rheeman CH, Gruer SE, Mahutte CK. (1994). Influence of pressure- and flow-triggered synchronous intermittent mandatory ventilation on inspiratory muscle work. Critical Care Medicine; 22: 1933-1941.
28. Schwab RJ, Schnader JS. (1991). Ventilator autocycling due to an endotracheal tube cuff leak. Chest; 100: 1172-1173.
29. Sharshar T, Desmarais G, Louis B, Macadou G, Porcher R, Harf A, Raphael JC, Isabey D, Lofaso F. (2003). Transdiaphragmatic pressure control of airway pressure support in healthy subjects. American Journal of Respiratory and Critical Care Medicine; 168: 760-769.
30. Sinderby C. (2003). Ventilatory assist driven by patient demand. American Journal of Respiratory and Critical Care Medicine; 168: 729-730.
31. Sinderby C, Navalesi P, Beck J, Skrobik Y, Comtois N, Friberg S, Gottfried SB, Lindstrom L. (1999). Neural control of mechanical ventilation in respiratory failure. Nature Medicine; 5: 1433-1436.
32. Spahija J, De Marchie M, Albert M, Bellemare P, Delisle S, Beck J, Sinderby C. (2010). Patient-ventilator interaction during pressure support ventilation and neurally adjusted ventilatory assist. Critical Care Medicine; 38: 518-526.
33. Suki B, Alencar AM, Tolnai J, Asztalos T, Petak F, Sujeer MK, Patel K, Patel J, Stanley HE, Hantos Z. (2000). Size distribution of recruited alveolar volumes in airway reopening. Journal of Applied Physiology; 89: 2030-2040.
34. Sztark F, Thicoipe M, Lassie P, Petitjean ME, Dabadie P. (2000). Mitochondrial energy metabolism in brain-dead organ donors. Annals of Transplantation; 5: 41-44.
35. Tilles RB, Don HF. (1975). Complications of high pleural suction in bronchopleural fistulas. Anesthesiology; 43: 486-487.
36. Tobin MJ. (2001). Advances in mechanical ventilation. The New England Journal of Medicine; 344: 1986-1996.
37. Tutuncu AS, Cakar N, Camci E, Esen F, Telci L, Akpir K. (1997). Comparison of pressure- and flow-triggered pressure-support ventilation on weaning parameters in patients recovering from acute respiratory failure. Critical Care Medicine; 25: 756-760.
38. Washko GR, O'Donnell CR, Loring SH. (2006). Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. Journal of Applied Physiology; 100: 753-758.
39. Wijdicks EF. (2001). The diagnosis of brain death. The New England Journal of Medicine; 344: 1215-1221.
40. Wijdicks EF, Manno EM, Holets SR. (2005). Ventilator self-cycling may falsely suggest patient effort during brain death determination. Neurology; 65: 774.
41. Willatts SM, Drummond G. (2000). Brainstem death and ventilator trigger settings. Anaesthesia; 55: 676-677.