Hemodynamic consequences of auto-PEEP

Journal of Intensive Care Medicine

Volumn 29, Issue 2, 2014, Pages 81-86

  Berlin, David ^a  

^a WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

Auto positive end expiratory pressure; dynamic hyperinflation; mechanical ventilation; shock

Indexed keywords

ARTIFICIAL VENTILATION; AUTO POSITIVE END EXPIRATORY PRESSURE; BRONCHOSPASM; CRITICALLY ILL PATIENT; HEART ARREST; HEMODYNAMICS; HUMAN; HYPERINFLATION; LUNG MINUTE VOLUME; PATHOPHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; PREVALENCE; PRIORITY JOURNAL; REVIEW; SEDATION; SHOCK;

AUTO-POSITIVE END-EXPIRATORY PRESSURE; DYNAMIC HYPERINFLATION; MECHANICAL VENTILATION; SHOCK;

AIRWAY OBSTRUCTION; CRITICAL CARE; FLUID THERAPY; HEART ARREST; HEMODYNAMICS; HUMANS; HYPNOTICS AND SEDATIVES; POSITIVE-PRESSURE RESPIRATION, INTRINSIC; PREVALENCE; RESPIRATION, ARTIFICIAL; SHOCK, SEPTIC;

EID: 84896122540     PISSN: 08850666     EISSN: 15251489     Source Type: Journal    
DOI: 10.1177/0885066612445712     Document Type: Review

References (64)

1. Pepe PE, Marini JJ. Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction - the auto-PEEP effect. Am Rev Respir Dis. 1982 ; 126 (1). 166-170
2. Dal Vecchio L, Polese G, Poggi R, Rossi A. Intrinsic positive end-expiratory pressure in stable patients with chronic obstructive pulmonary disease. Eur Respir J. 1990 ; 3 (1). 74-80
3. Brandolese R, Broseghini C, Polese G, et al. Effects of intrinsic PEEP on pulmonary gas exchange in mechanically-ventilated patients. Eur Respir J. 1993 ; 6 (3). 358-363
4. Marini JJ. Dynamic hyperinflation and auto-positive end-expiratory pressure: lessons learned over 30 years. Am J Respir Crit Care Med. 2011 ; 184 (7). 756-762
5. Connery LE, Deignan MJ, Gujer MW, Richardson MG. Cardiovascular collapse associated with extreme iatrogenic PEEPi in patients with obstructive airways disease. Br J Anaesth. 1999 ; 83 (3). 493-495
6. Adhiyaman V, Adhiyaman S, Sundaram R. The Lazarus phenomenon. J R Soc Med. 2007 ; 100 (12). 552-557
7. Duck MH, Paul M, Wixforth J, Kammerer H.. The Lazarus phenomenon. Spontaneous return of circulation after unsuccessful intraoperative resuscitation in a patient with a pacemaker. Anaesthesist. 2003 ; 52 (5). 413-418
8. Lapinsky SE, Leung RS. Auto-PEEP and electromechanical dissociation. N Engl J Med. 1996 ; 335 (9). 674-674
9. Rogers PL, Schlichtig R, Miro A, Pinsky M. Auto-PEEP during CPR- an occult cause of electromechanical dissociation. Chest. 1991 ; 99 (2). 492-493
10. Sprung J, Hunter K, Barnas GM, Bourke DL. Abdominal distention is not always a sign of esophageal intubation - cardiac arrest due to auto-PEEP. Anesth Analg. 1994 ; 78 (4). 801-804
11. Rosengarten PL, Tuxen DV, Dziukas L, Scheinkestel C, Merrett K, Bowes G. Circulatory arrest induced by intermittent positive pressure ventilaiton in a patient with severe asthma. Anaesth Intens Care. 1991 ; 19 (1). 118-121
12. Myles PS, Madder H, Morgan EB. Intraoperative cardiac-arrest after unrecognized dynamic hyperinflation. Br J Anaesth. 1995 ; 74 (3). 340-342
13. Wright J, Gong H. Auto-PEEP - incidence, magnitude, and contributing factors. Heart Lung. 1990 ; 19 (4). 352-357
14. Rossi A, Polese G, Brandi G, Conti G. Intrinsic positive end-expiratory pressure (PEEP(I)). Intens Care Med. 1995 ; 21 (6). 522-536
15. Hough CL, Kallet RH, Ranieri VM, Rubenfeld GD, Luce JM, Hudson LD. Intrinsic positive end-expiratory pressure in Acute Respiratory Distress Syndrome (ARDS) network subjects. Crit Care Med. 2005 ; 33 (3). 527-532
16. Broseghini C, Brandolese R, Poggi R, Bernasconi M, Manzin E, Rossi A. Respiratory resistance and intrinsic positive end-expiratory pressure (PEEPi) in patients with the adult respiratory distress syndrome (ARDS). Eur Respir J. 1988 ; 1 (8). 726-731
17. Koutsoukou A, Armaganidis A, Stavrakaki-Kallergi C, et al. Expiratory flow limitation and intrinsic positive end-expiratory pressure at zero positive end-expiratory pressure in patients with adult respiratory distress syndrome. Am J Respir Crit Care Med. 2000 ; 161 (5). 1590-1596
18. Vieillard-Baron A, Rabiller A, Chergui K, et al. Prone position improves mechanics and alveolar ventilation in acute respiratory distress syndrome. Intens Care Med. 2005 ; 31 (2). 220-226
19. Moore FA, Haenel JB, Moore EE, Abernathy CM. Auto-PEEP in the multisystem injured patient - an elusive complication. J Trauma. 1990 ; 30 (11). 1316-1323
20. Woda RP, Dzwonczyk R, Bernacki BL, Cannon M, Lynn L. The ventilatory effects of auto-positive end-expiratory pressure development during cardiopulmonary resuscitation. Crit Care Med. 1999 ; 27 (10). 2212-2217
21. O'Neill JF, Deakin CD. Do we hyperventilate cardiac arrest patients?. Resuscitation. 2007 ; 73 (1). 82-85
22. Lessard MR, Lofaso F, Brochard L. Expiratory muscle-activity increases intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am J Respir Crit Care Med. 1995 ; 151 (2). 562-569
23. Jardin F, Vieillard-Baron A. Right ventricular function and positive pressure ventilation in clinical practice: from hemodynamic subsets to respirator settings. Intens Care Med. 2003 ; 29 (9). 1426-1434
24. Richard JC, Brochard L, Breton L, et al. Influence of respiratory rate on gas trapping during low volume ventilation of patients with acute lung injury. Intens Care Med. 2002 ; 28 (8). 1078-1083
25. Rossi A, Gottfried SB, Zocchi L, et al. Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation. The effect of intrinsic positive end-expiratory pressure. Am Rev Respir Dis. 1985 ; 131 (5). 672-677
26. Kress JP, O'Connor MF, Schmidt GA. Clinical examination reliably detects intrinsic positive end-expiratory pressure in critically ill, mechanically ventilated patients. Am J Respir Crit Care Med. 1999 ; 159 (1). 290-294
27. Ninane V, Rypens F, Yernault JC, De Troyer A. Abdominal muscle use during breathing in patients with chronic airflow obstruction. Am Rev Respir Dis. 1992 ; 146 (1). 16-21
28. Schmidt GA Principles of Crtical Care. 3 rd ed. New York, NY: Mcgraw Hill, Medical Pub. Division; 2005. JB Hall Schmidt GA LDH Wood, ed. New York, NY: Mcgraw Hill, Medical Pub. Division ; 2005 :
29. Patel H, Yang KL. Variability of intrinsic positive end-expiratory pressure in pateints receiving mechanical ventilation. Crit Care Med. 1995 ; 23 (6). 1074-1079
30. Leatherman J, Ravenscraft SA. Low measured auto-positive end-expiratory pressure during mechanical ventilation of patients with severe asthma: hidden auto-positive end-expiratory pressure. Crit Care Med. 1996 ; 24 (3). 541-546
31. Vieillard-Baron A, Jardin F. The issue of dynamic hyperinflation in acute respiratory distress syndrome patients. Eur Respir J. 2003 ; 22 (42 suppl). 43S - 47S
32. Motley HL, Werko L, Cournard A. Influence of intermittent positive pressure breathing on cardiac output. Fed Proc. 1947 ; 6 (1). 167-168
33. Buda A, Pinsky M, Ingels N, Daughters G, Stinson EB, Alderman EL. Effect of intrathoracic pressure on left ventricular performance. N Engl J Med. 1980 ; 302 (4). 236-236
34. 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 (7). 387-392
35. Pinsky MR. Heart-lung interactions. Curr Opinion Crit Care. 2007 ; 13 (5). 528-531
36. Pinsky M Principles and Practice of Mechanical Ventilation. 2 nd ed. New York, NY: McGraw Hill; 2006:729-757. MF Tobin, ed. New York, NY: McGraw Hill ; 2006: 729-757.
37. Guyton AC, Jones CE, Coleman TG Cardiac Output and Its Regulation. 2 nd ed. Philadelphia, PA: Saunders; 1973. Philadelphia, PA: Saunders ; 1973 :
38. Vieillard-Baron A, Chergui K, Rabiller A, et al. Superior vena caval collapsibility as a gauge of volume status in ventilated septic patients. Intens Care Med. 2004 ; 30 (9). 1734-1739
39. Jellinek H, Krafft P, Fitzgerald RD, Schwarz S, Pinsky MR. Right atrial pressure predicts hemodynamic response to apneic positive airway pressure. Crit Care Med. 2000 ; 28 (3). 672-678
40. van den Berg PCM, Jansen JRC, Pinsky MR. Effect of positive pressure on venous return in volume-loaded cardiac surgical patients. J Appl Physiol. 2002 ; 92 (3). 1223-1231
41. Schmitt JM, Vieillard-Baron A, Augarde R, Prin S, Page B, Jardin F. Positive end-expiratory pressure titration in acute respiratory distress syndrome patients: impact on right ventricular outflow impedance evaluated by pulmonary artery Doppler flow velocity measurements. Crit Care Med. 2001 ; 29 (6). 1154-1158
42. Guyton AC, Lindsey AW, Gilluly JJ. The limits of right ventricular compensation following an acute increase in pulmonary circulation resistance. Circ Res. 1954 ; 2 (4). 326-332
43. Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F. Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med. 2002 ; 166 (10). 1310-1319
44. Mebazaa A, Karpati P, Renaud E, Algotsson L. Acute right ventricular failure-from pathophysiology to new treatments. Intens Care Med. 2004 ; 30 (2). 185-196
45. Stewart TE, Slutsky AS. Occult, occult auto-PEEP in status asthmaticus. Crit Care Med. 1996 ; 24 (3). 379-380
46. Leatherman JW, McArthur C, Shapiro RS. Effect of prolongation of expiratory time on dynamic hyperinflation in mechanically ventilated patients with severe asthma. Crit Care Med. 2004 ; 32 (7). 1542-1545
47. Oddo M, Feihl F, Schaller MD, Perret C. Management of mechanical ventilation in acute severe asthma: practical aspects. Intens Care Med. 2006 ; 32 (4). 501-510
48. Tobin MJ, Jubran A, Laghi F. Patient-ventilator interaction. Am J Respir Crit Care Med. 2001 ; 163 (5). 1059-1063
49. Aufderheide TP, Sigurdsson G, Pirrallo RG, et al. Hyperventilation- induced hypotension during cardiopulmonary resuscitation. Circulation. 2004 ; 109 (16). 1960-1965
50. Travers AH, Rea TD, Bobrow BJ, et al. Part 4: CPR overview: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Circulation. 2010 ; 122 (18 suppl 3). S676 - S684
51. Vieillard-Baron A, Prin S, Augarde R, et al. Increasing respiratory rate to improve CO2 clearance during mechanical ventilation is not a panacea in acute respiratory failure. Crit Care Med. 2002 ; 30 (7). 1407-1412
52. Hess DR. Ventilator waveforms and the physiology of pressure support ventilation. Respir Care. 2005 ; 50 (2). 166-183
53. Brochard L. Intrinsic (or auto-) PEEP during controlled mechanical ventilation. Intens Care Med. 2002 ; 28 (10). 1376-1378
54. Tobin MJ, Lodato RF. PEEP. Auto-PEEP, and waterfalls. Chest. 1989 ; 96 (3). 449-451
55. Baigorri F, Demonte A, Blanch L, et al. Hemodynamic responses to external counterbalancing of auto-positive end expiratory pressure in mechanically ventilated patients with chronic obstructive pulmonary-disease. Crit Care Med. 1994 ; 22 (11). 1782-1791
56. Conti G, Bufi M, Rocco M, et al. Auto-PEEP and dynamic hyperinflation in COPD patients during controlled mechanical ventilation and high frequency jet ventilation. Intens Care Med. 1990 ; 16 (2). 81-84
57. Tobin MJ, Charles AG, Patrick FJ Principles and Practice of Mechanical Ventilation. 2 nd ed. New York, NY: McGraw-Hill; 2006:1121-1136. MJ Tobin, ed. New York, NY: McGraw-Hill ; 2006: 1121-1136.
58. Mekontso Dessap A, Charron C, Devaquet J, et al. Impact of acute hypercapnia and augmented positive end-expiratory pressure on right ventricle function in severe acute respiratory distress syndrome. Intens Care Med. 2009 ; 35 (11). 1850-1858
59. Durairaj L, Schmidt GA. Fluid therapy in resuscitated sepsis: less is more. Chest. 2008 ; 133 (1). 252-263
60. Huang CC, Fu JY, Hu HC, et al. Prediction of fluid responsiveness in acute respiratory distress syndrome patients ventilated with low tidal volume and high positive end-expiratory pressure. Crit Care Med. 2008 ; 36 (10). 2810-2816
61. De Backer D, Taccone FS, Holsten R, Ibrahimi F, Vincent JL. Influence of respiratory rate on stroke volume variation in mechanically ventilated patients. Anesthesiology. 2009 ; 110 (5). 1092-1097
62. Mahjoub Y, Pila C, Friggeri A, et al. Assessing fluid responsiveness in critically ill patients: false-positive pulse pressure variation is detected by Doppler echocardiographic evaluation of the right ventricle. Crit Care Med. 2009 ; 37 (9). 2570-2575
63. Cavallaro F, Sandroni C, Marano C, et al. Diagnostic accuracy of passive leg raising for prediction of fluid responsiveness in adults: systematic review and meta-analysis of clinical studies. Intens Care Med. 2010 ; 36 (9). 1475-1483
64. Fougeres E, Teboul JL, Richard C, Osman D, Chemla D, Monnet X. Hemodynamic impact of a positive end-expiratory pressure setting in acute respiratory distress syndrome: importance of the volume status. Crit Care Med. 2010 ; 38 (3). 802-807