Optimization of positive end-expiratory pressure by volumetric capnography variables in lavage-induced acute lung injury

Respiration

Volumn 87, Issue 1, 2014, Pages 75-83

  Yang, Yi ^a   Huang, Yingzi ^a   Tang, Rui ^b   Chen, Qiuhua ^a   Hui, Xia ^a   Li, Yang ^a   Yu, Qing ^a   Zhao, Hongjie ^a   Qiu, Haibo ^a  

^a MEDICAL SCHOOL OF SOUTHEAST UNIVERSITY   (China)

^b ANHUI MEDICAL UNIVERSITY   (China)

Author keywords

Acute respiratory distress syndrome; End expiratory lung volume; Positive end expiratory pressure; Volumetric capnography

Indexed keywords

ACUTE LUNG INJURY; ADULT RESPIRATORY DISTRESS SYNDROME; ANIMAL EXPERIMENT; ANIMAL MODEL; ARTICLE; BLOOD GAS ANALYSIS; BLOOD OXYGEN TENSION; BREATHING MECHANICS; CAPNOMETRY; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC TEST ACCURACY STUDY; FEMALE; HEMODYNAMICS; LUNG COMPLIANCE; LUNG LAVAGE; LUNG VOLUME; MALE; NONHUMAN; PIGLET; POSITIVE END EXPIRATORY PRESSURE; PREDICTIVE VALUE; PRIORITY JOURNAL; RESPIRATORY AIRFLOW; SENSITIVITY AND SPECIFICITY; AIRWAY PRESSURE; ATELECTASIS; BLOOD PRESSURE MEASUREMENT; BREATH HOLDING; BREATHING RATE; CAPNOGRAPH; COMPUTED TOMOGRAPHY SCANNER; CONTROLLED STUDY; HEART OUTPUT; HEMODYNAMIC MONITORING; LUNG ARTERY PRESSURE; LUNG HEMODYNAMICS; LUNG PARENCHYMA; MEAN ARTERIAL PRESSURE; PROCESS OPTIMIZATION; RESPONSE TIME; TIDAL VOLUME; VENOUS OXYGEN TENSION; VOLUMETRIC CAPNOGRAPHY;

OXYGEN;

ACUTE LUNG INJURY; ANIMALS; BLOOD GAS ANALYSIS; BRONCHOALVEOLAR LAVAGE; CAPNOGRAPHY; DISEASE MODELS, ANIMAL; FEMALE; MALE; POSITIVE-PRESSURE RESPIRATION; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; SWINE; TIDAL VOLUME; VENTILATOR-INDUCED LUNG INJURY;

EID: 84893281159     PISSN: 00257931     EISSN: 14230356     Source Type: Journal    
DOI: 10.1159/000354787     Document Type: Article

References (26)

1. Gattinoni L, Caironi P, Carlesso E: How to ventilate patients with acute lung injury and acute respiratory distress syndrome. Curr Opin Crit Care 2005; 11: 69-76.
2. Putensen C, Theuerkauf N, Zinserling J, Wrigge H, Pelosi P: Meta-analysis: Ventilation strategies and outcomes of the acute respiratory distress syndrome and acute lung injury. Ann Intern Med 2009; 151: 566-576.
3. Rouby J-J, Ferrari F, Bouhemad B, Lu Q: Positive end-expiratory pressure in acute respiratory distress syndrome: Should the open lung strategy be replaced by a protective lung strategy Crit Care 2007; 11: 180.
4. Brochard L: New goals for positive end-expiratory pressure in acute respiratory distress syndrome: A paradigm shift or the end of an area of uncertainty Am J Respir Crit Care Med 2010; 181: 528-530.
5. Nuckton TJ, Alonso JA, Kallet RH, Daniel BM, Pittet JF, Eisner MD, Matthay MA: Pulmonary dead-space fraction as a risk factor for death in the acute respiratory distress syndrome. N Engl J Med 2002; 346: 1281-1286.
6. Raurich JM, Vilar M, Colomar A, Ibanez J, Ayestaran I, Perez-Barcena J, Llompart-Pou JA: Prognostic value of the pulmonary dead-space fraction during the early and intermediate phases of acute respiratory distress syndrome. Respir Care 2010; 55: 282-287.
7. Tusman G, Bohm SH, Suarez-Sipmann F, Turchetto E: Alveolar recruitment improves ventilatory efficiency of the lungs during anesthesia. Can J Anaesth 2004; 51: 723-727.
8. Tusman G, Suarez-Sipmann F, Bohm SH, Pech T, Reissmann H, Meschino G, Scandurra A, Hedenstierna G: Monitoring dead space during recruitment and PEEP titration in an experimental model. Intensive Care Med 2006; 32: 1863-1871.
9. Dueck R, Wagner PD, West JB: Effects of positive end-expiratory pressure on gas exchange in dogs with normal and edematous lungs. Anesthesiology 1977; 47: 359-366.
10. Coffey RL, Albert RK, Robertson HT: Mechanisms of physiological dead space response to PEEP after acute oleic acid lung injury. J Appl Physiol 1983; 55: 1550-1557.
11. Breen PH, Mazumdar B: How does positive end-expiratory pressure decrease CO elimination from the lung Respir Physiol 1996; 103: 233-242.
12. Suter PM, Fairley HB, Isenberg MD: Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 1975; 292: 284-289.
13. Fengmei G, Jin C, Songqiao L, Congshan Y, Yi Y: Dead space fraction changes during PEEP titration following lung recruitment in patients with ARDS. Respir Care 2012; 57: 1578-1585.
14. Borges JB, Okamoto VN, Matos GFJ, Caramez MPR, Arantes PR, Barros F, Souza CE, Victorino JA, Kacmarek RM, Barbas CSV, Carvalho CRR, Amato MBP: Reversibility of lung collapse and hypoxemia in early acute respiratory distress syndrome. Am J Respir Crit Care Med 2006; 174: 268-278.
15. Olegard C, Sondergaard S, Houltz E, Lundin S, Stenqvist O: Estimation of functional residual capacity at the bedside using standard monitoring equipment: A modified nitrogen washout/washin technique requiring a small change of the inspired oxygen fraction. Anesth Analg 2005; 101: 206-212.
16. Puybasset L, Cluzel P, Gusman P, Grenier P, Preteux F, Rouby JJ: Regional distribution of gas and tissue in acute respiratory distress syndrome. I. Consequences for lung morphology. CT Scan ARDS Study Group. Intensive Care Med 2000; 26: 857-869.
17. Gattinoni L, Caironi P, Pelosi P, Goodman LR: What has computed tomography taught us about the acute respiratory distress syndrome Am J Respir Crit Care Med 2001; 164: 1701-1711.
18. Niklason L, Eckerstrom J, Jonson B: The influence of venous admixture on alveolar dead space and carbon dioxide exchange in acute respiratory distress syndrome: Computer modelling. Crit Care 2008; 12:R53.
19. Hedenstierna G, Sandhagen B: Assessing dead space. A meaningful variable Minerva Anestesiol 2006; 72: 521-528.
20. Suarez Sipmann F, Bohm SH, Tusman G: Different approaches to the analysis of volumetric capnography; in Vincent J-L (ed): Yearbook of Intensive Care and Emergency Medicine. Berlin, Springer, 2009, pp 413-423.
21. Tusman G, Suarez-Sipmann F, Bohm SH, Borges JB, Hedenstierna G: Capnography reflects ventilation/perfusion distribution in a model of acute lung injury. Acta Anaesthesiol Scand 2011; 55: 597-606.
22. Rylander C, Hogman M, Perchiazzi G, Magnusson A, Hedenstierna G: Functional residual capacity and respiratory mechanics as indicators of aeration and collapse in experimental lung injury. Anesth Analg 2004; 98: 782-789.
23. Lambermont B, Ghuysen A, Janssen N, Morimont P, Hartstein G, Gerard P, DOrio V: Comparison of functional residual capacity and static compliance of the respiratory system during a positive end-expiratory pressure (PEEP) ramp procedure in an experimental model of acute respiratory distress syndrome. Crit Care 2008; 12:R91.
24. Luecke T, Meinhardt JP, Herrmann P, Weiss A, Quintel M, Pelosi P: Oleic acid vs saline solution lung lavage-induced acute lung injury: Effects on lung morphology, pressurevolume relationships, and response to positive end-expiratory pressure. Chest 2006; 130: 392-401.
25. Gattinoni L, Caironi P, Cressoni M, Chiumello D, Ranieri VM, Quintel M, Russo S, Patroniti N, Cornejo R, Bugedo G: Lung recruitment in patients with the acute respiratory distress syndrome. N Engl J Med 2006; 354: 1775-1786.
26. Tusman G, Bohm SH, Suarez-Sipmann F, Scandurra A, Hedenstierna G: Lung recruitment and positive end-expiratory pressure have different effects on CO elimination in healthy and sick lungs. Anesth Analg 2010; 111: 968-977.