Determination of 'recruited volume' following a PEEP step is not a measure of lung recruitability

Acta Anaesthesiologica Scandinavica

Volumn 59, Issue 1, 2015, Pages 35-46

  Stahl, C A ^a   Moller K ^b   Steinmann, D ^a   Henzler, D ^c   Lundin, S ^d   Stenqvist, O ^d  

^a UNIVERSITY OF FREIBURG   (Germany)

^b FURTWANGEN UNIVERSITY   (Germany)

^c Klinikum Herford   (Germany)

^d SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; ADULT RESPIRATORY DISTRESS SYNDROME; ARTICLE; BODY WEIGHT; BREATHING RATE; CLINICAL ARTICLE; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; CONTROLLED STUDY; EXPIRATORY RESERVE VOLUME; FEMALE; HUMAN; INSPIRATORY CAPACITY; LUNG PARENCHYMA; LUNG PRESSURE; LUNG VOLUME; MALE; POSITIVE END EXPIRATORY PRESSURE; RECRUITED VOLUME; AGED; LUNG COMPLIANCE; MIDDLE AGED; PATHOPHYSIOLOGY; PHYSIOLOGY;

ADULT; AGED; FEMALE; HUMANS; LUNG COMPLIANCE; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; RESPIRATORY DISTRESS SYNDROME, ADULT;

EID: 84916226930     PISSN: 00015172     EISSN: 13996576     Source Type: Journal    
DOI: 10.1111/aas.12432     Document Type: Article

References (42)

1. 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.
2. Slutsky AS, Hudson LD,. PEEP or no PEEP-lung recruitment may be the solution. N Engl J Med 2006; 354: 1839-1841.
3. Dellamonica J, Lerolle N, Sargentini C, Beduneau G, Di Marco F, Mercat A, Richard JC, Diehl JL, Mancebo J, Rouby JJ, Lu Q, Bernardin G, Brochard L,. Accuracy and precision of end-expiratory lung-volume measurements by automated nitrogen washout/washin technique in patients with acute respiratory distress syndrome. Crit Care 2011; 15: R294.
4. Dellamonica J, Lerolle N, Sargentini C, Beduneau G, Di Marco F, Mercat A, Richard JC, Diehl JL, Mancebo J, Rouby JJ, Lu Q, Bernardin G, Brochard L,. PEEP-induced changes in lung volume in acute respiratory distress syndrome. Two methods to estimate alveolar recruitment. Intensive Care Med 2011; 37: 1595-1604.
5. Katz JA, Ozanne GM, Zinn SE, Fairley HB,. Time course and mechanisms of lung-volume increase with PEEP in acute pulmonary failure. Anesthesiology 1981; 54: 9-16.
6. Ranieri VM, Eissa NT, Corbeil C, Chasse M, Braidy J, Matar N, Milic-Emili J,. Effects of positive end-expiratory pressure on alveolar recruitment and gas exchange in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 1991; 144: 544-551.
7. Jonson B, Richard JC, Straus C, Mancebo J, Lemaire F, Brochard L,. Pressure-volume curves and compliance in acute lung injury: evidence of recruitment above the lower inflection point. Am J Respir Crit Care Med 1999; 159: 1172-1178.
8. Neumann P, Rothen HU, Berglund JE, Valtysson J, Magnusson A, Hedenstierna G,. Positive end-expiratory pressure prevents atelectasis during general anaesthesia even in the presence of a high inspired oxygen concentration. Acta Anaesthesiol Scand 1999; 43: 295-301.
9. Stahl CA, Moller K, Schumann S, Kuhlen R, Sydow M, Putensen C, Guttmann J,. Dynamic versus static respiratory mechanics in acute lung injury and acute respiratory distress syndrome. Crit Care Med 2006; 34: 2090-2098.
10. Putensen C, Baum M, Hormann C,. Selecting ventilator settings according to variables derived from the quasi-static pressure/volume relationship in patients with acute lung injury. Anesth Analg 1993; 77: 436-447.
11. Nunes S, Uusaro A, Takala J,. Pressure-volume relationships in acute lung injury: methodological and clinical implications. Acta Anaesthesiol Scand 2004; 48: 278-286.
12. Gattinoni L, Pesenti A, Avalli L, Rossi F, Bombino M,. Pressure-volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study. Am Rev Respir Dis 1987; 136: 730-736.
13. Gattinoni L, Pesenti A, Baglioni S, Vitale G, Rivolta M, Pelosi P,. Inflammatory pulmonary edema and positive end-expiratory pressure: correlations between imaging and physiologic studies. J Thorac Imaging 1988; 3: 59-64.
14. Gattinoni L, D'Andrea L, Pelosi P, Vitale G, Pesenti A, Fumagalli R,. Regional effects and mechanism of positive end-expiratory pressure in early adult respiratory distress syndrome. JAMA 1993; 269: 2122-2127.
15. Gattinoni L, Chiumello D, Carlesso E, Valenza F,. Bench-to-bedside review: chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care 2004; 8: 350-355.
16. Cressoni MCC, Amini M, Febres D, Gallazzi E, Carlesso E, Cadringher P, Langer T, Chiumello D, Gattinoni L,. Recruited lung tissue does not resume normal mechanical properties. Critical Care 2013; 17: P106.
17. Gattinoni L, Pesenti A,. The concept of 'baby lung'. Intensive Care Med 2005; 31: 776-784.
18. Hedenstierna G, Rothen HU,. Atelectasis formation during anesthesia: causes and measures to prevent it. J Clin Monit Comput 2000; 16: 329-335.
19. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G,. Re-expansion of atelectasis during general anaesthesia: a computed tomography study. Br J Anaesth 1993; 71: 788-795.
20. Gattinoni L, Pelosi P, Crotti S, Valenza F,. Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome. Am J Respir Crit Care Med 1995; 151: 1807-1814.
21. Lowhagen K, Lundin S, Stenqvist O,. Regional intratidal gas distribution in acute lung injury and acute respiratory distress syndrome-assessed by electric impedance tomography. Minerva Anestesio 2010; 76: 1024-1035.
22. Victorino JA, Borges JB, Okamoto VN, Matos GF, Tucci MR, Caramez MP, Tanaka H, Sipmann FS, Santos DC, Barbas CS, Carvalho CR, Amato MB,. Imbalances in regional lung ventilation: a validation study on electrical impedance tomography. Am J Respir Crit Care Med 2004; 169: 791-800.
23. Putensen C, Wrigge H, Zinserling J,. Electrical impedance tomography guided ventilation therapy. Curr Opin Crit Care 2007; 13: 344-350.
24. Bates JH, Irvin CG,. Time dependence of recruitment and derecruitment in the lung: a theoretical model. J Appl Physiol (1985) 2002; 93: 705-713.
25. Stenqvist O, Grivans C, Andersson B, Lundin S,. Lung elastance and transpulmonary pressure can be determined without using oesophageal pressure measurements. Acta Anaesthesiol Scand 2012; 56: 738-747.
26. Chelucci GL, Brunet F, Dall'Ava-Santucci J, Dhainaut JF, Paccaly D, Armaganidis A, Milic-Emili J, Lockhart A,. A single-compartment model cannot describe passive expiration in intubated, paralysed humans. Eur Respir J 1991; 4: 458-464.
27. Fretschner R, Laubscher TP, Brunner JX,. New aspects of pulmonary mechanics: 'slowly' distensible compartments of the respiratory system, identified by a PEEP step maneuver. Intensive Care Med 1996; 22: 1328-1334.
28. Odenstedt H, Lindgren S, Olegard C, Erlandsson K, Lethvall S, Aneman A, Stenqvist O, Lundin S,. Slow moderate pressure recruitment maneuver minimizes negative circulatory and lung mechanic side effects: evaluation of recruitment maneuvers using electric impedance tomography. Intensive Care Med 2005; 31: 1706-1714.
29. Grivans C, Lundin S, Stenqvist O, Lindgren S,. Positive end-expiratory pressure-induced changes in end-expiratory lung volume measured by spirometry and electric impedance tomography. Acta Anaesthesiol Scand 2011; 55: 1068-1077.
30. Stenqvist O, Lundin S,. Lung elastance and transpulmonary pressure may be determined without using esophageal pressure measurements. Am J Respir Crit Care Med 2014; 190: 120.
31. Tremblay LN, Slutsky AS,. Ventilator-induced lung injury: from the bench to the bedside. Intensive Care Med 2006; 32: 24-33.
32. Mead J, Takishima T, Leith D,. Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol 1970; 28: 596-608.
33. Muscedere JG, Mullen JB, Gan K, Slutsky AS,. Tidal ventilation at low airway pressures can augment lung injury. Am J Respir Crit Care Med 1994; 149: 1327-1334.
34. Gattinoni L, Protti A, Caironi P, Carlesso E,. Ventilator-induced lung injury: the anatomical and physiological framework. Crit Care Med 2010; 38: S539-548.
35. Lu Q, Constantin JM, Nieszkowska A, Elman M, Vieira S, Rouby JJ,. Measurement of alveolar derecruitment in patients with acute lung injury: computerized tomography versus pressure-volume curve. Crit Care 2006; 10: R95.
36. Malbouisson LM, Muller JC, Constantin JM, Lu Q, Puybasset L, Rouby JJ, Group CTSAS. Computed tomography assessment of positive end-expiratory pressure-induced alveolar recruitment in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2001; 163: 1444-1450.
37. Cressoni MGE, Chiurazzi C, Marino A, Briono M, Menga F, Cegada I, Lemos A, Lazzerini M, Carlesso E, Cadringher P, Chiumello D, Gattinoni L,. Limits of normality of quantitative thoracic computed tomography analysis. Crit Care 2013; 17: R93.
38. Caironi P, Carlesso E, Gattinoni L,. Radiological imaging in acute lung injury and acute respiratory distress syndrome. Semin Respir Crit Care Med 2006; 27: 404-415.
39. Crotti S, Mascheroni D, Caironi P, Pelosi P, Ronzoni G, Mondino M, Marini JJ, Gattinoni L,. Recruitment and derecruitment during acute respiratory failure: a clinical study. Am J Respir Crit Care Med 2001; 164: 131-140.
40. Mattingley JS, Holets SR, Oeckler RA, Stroetz RW, Buck CF, Hubmayr RD,. Sizing the lung of mechanically ventilated patients. Crit Care 2011; 15: R60.
41. Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A,. Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? Am J Respir Crit Care Med 1998; 158: 3-11.
42. Mauri T, Bellani G, Confalonieri A, Tagliabue P, Turella M, Coppadoro A, Citerio G, Patroniti N, Pesenti A,. Topographic distribution of tidal ventilation in acute respiratory distress syndrome: effects of positive end-expiratory pressure and pressure support. Crit Care Med 2013; 41: 1664-1673.