Ventilation/perfusion distributions revisited

Current Opinion in Anaesthesiology

Volumn 29, Issue 1, 2016, Pages 2-7

  Baumgardner, James E ^a   Hedenstierna, Göran ^b  

^a Oscillogy LLC   (United States)

^b UPPSALA UNIVERSITY   (Sweden)

Author keywords

arterial oxygenation; one lung ventilation; shunt; V Q mismatch; ventilation perfusion ratio

Indexed keywords

CARBON DIOXIDE; ENDOTHELIN; INERT GAS; NITRIC OXIDE;

ANESTHESIA; ARTIFICIAL VENTILATION; COMPUTER ASSISTED IMPEDANCE TOMOGRAPHY; EMISSION TOMOGRAPHY; GAS EXCHANGE; HUMAN; HYPOXEMIA; LUNG BLOOD FLOW; LUNG VENTILATION PERFUSION RATIO; MASS SPECTROMETRY; ONE LUNG VENTILATION; OXYGEN CONCENTRATION; PATIENT MONITORING; PNEUMOPERITONEUM; POSITRON EMISSION TOMOGRAPHY; PRIORITY JOURNAL; RESUSCITATION; REVIEW; SINGLE PHOTON EMISSION COMPUTER TOMOGRAPHY; THORACOSCOPY; THREE DIMENSIONAL IMAGING; VASOCONSTRICTION; HYPOXIA; PHYSIOLOGY; PROCEDURES;

ANESTHESIA; HUMANS; HYPOXIA; VENTILATION-PERFUSION RATIO;

EID: 84952719514     PISSN: 09527907     EISSN: 14736500     Source Type: Journal    
DOI: 10.1097/ACO.0000000000000269     Document Type: Review

References (42)

1. Wagner PD. The multiple inert gas elimination technique (MIGET). Intensive Care Med 2008; 34:994-1001.
2. Kozian A, Schilling T, Fredén F, et al. One-lung ventilation induces hyperperfusion and alveolar damage in the ventilated lung: an experimental study. Br J Anaesth 2008; 100:549-559.
3. Kretzschmar M, Schilling T, Vogt A, et al. Multiple inert gas elimination technique by micropore membrane inlet mass spectrometry-A comparison with reference gas chromatography. J Appl Physiol 2013; 115:1107-1118.
4. Thomsen LP, Karbing DS, Smith BW, et al. Clinical refinement of the automatic lung parameter estimator (ALPE). J Clin Monit Comput 2013; 27:341-350.
5. Thomsen LP, Weinreich UM, Karbing DS, et al. Measuring gas exchange with step changes in inspired oxygen: an analysis of the assumption of oxygen steady state in patients suffering from COPD. J Clin Monit Comput 2014; 28:547-558.
6. Weinreich UM, Thomsen LP, Rees SE, Rasmussen BS. The effects of oxygen induced pulmonary vasoconstriction on bedside measurement of pulmonary gas exchange. J Clin Monit Comput 2015. [Epub ahead of print]
7. Henderson AC, Sá RC, Theilmann RJ, et al. The gravitational distribution of ventilation-perfusion ratio is more uniform in prone than supine posture in the normal human lung. J Appl Physiol 2013; 115:313-324.
8. Rizi RR, Baumgardner JE, Ishii M, et al. Determination of regional VA/Q by hyperpolarized 3He MRI. Magn Reson Med 2004; 52:65-72.
9. Petersson J, Glenny RW. Imaging regional PAO2 and gas exchange. J Appl Physiol (1985) 2012; 113:340-352.
10. Hamedani H, Kadlecek SJ, Ishii M, et al. Alterations of regional alveolar oxygen tension in asymptomatic current smokers: assessment with hyperpolarized (3)He MR imaging. Radiology 2015; 274:585-596.
11. Nyrén S, Radell P, Lindahl SG, et al. Lung ventilation and perfusion in prone and supine postures with reference to anesthetized and mechanically ventilated healthy volunteers. Anesthesiology 2010; 112:682-687.
12. Nyrén S, Radell P, Mure M, et al. Inhalation anesthesia increases V/Q regional heterogeneity during spontaneous breathing in healthy subjects. Anesthesiology 2010; 113:1370-1375.
13. Kjellberg M, Björkman K, Rohdin M, et al. Bronchopulmonary dysplasia: clinical grading in relation to ventilation/perfusion mismatch measured by single photon emission computed tomography. Pediatr Pulmonol 2013; 48:1206-1213.
14. Jobse BN, Rhem RG, Wang IQ, et al. Detection of lung dysfunction using ventilation and perfusion SPECT in a mouse model of chronic cigarette smoke exposure. J Nucl Med 2013; 54:616-623.
15. Musch G, Venegas JG. Positron emission tomography imaging of regional pulmonary perfusion and ventilation. Proc Am Thorac Soc 2005; 2:522-527.
16. Musch G, Winkler T, Harris RS, et al. Lung [(18)F]fluorodeoxyglucose uptake and ventilation-perfusion mismatch in the early stage of experimental acute smoke inhalation. Anesthesiology 2014; 120:683-693.
17. Borges JB, Suarez-Sipmann F, Bohm SH, et al. Regional lung perfusion estimated by electrical impedance tomography in a piglet model of lung collapse. J Appl Physiol (1985) 2012; 112:225-236.
18. Glenny RW, Bauer C, Hofmanninger J, et al. Heterogeneity and matching of ventilation and perfusion within anatomical lung units in rats. Respir Physiol Neurobiol 2013; 189:594-606.
19. Deshpande SP, Lehr E, Odonkor P, et al. Anesthetic management of robotically assisted totally endoscopic coronary artery bypass surgery (TECAB). J Cardiothorac Vasc Anesth 2013; 27:586-599.
20. Campos J, Ueda K. Update on anesthetic complications of robotic thoracic surgery. Minerva Anestesiol 2014; 80:83-88.
21. El-Dawlatly A, Al-Dohayan A, Riyad W, et al. Thoracoscopic sympathectomy: endobronchial anesthesia vs endotracheal anesthesia with intrathoracic CO2 insufflation. J Anesth 2002; 16:13-16.
22. Mukhtar AM, Obayah GM, Elmasry A, Dessouky NM. The therapeutic potential of intraoperative hypercapnia during video-assisted thoracoscopy in pediatric patients. Anesth Analg 2008; 106:84-88.
23. Reinius H, Borges JB, Fredén F, et al. Real-time ventilation and perfusion distributions by electrical impedance tomography during one-lung ventilation with capnothorax. Acta Anaesthesiol Scand 2015; 59:354-368.
24. Andersson LE, Baa th M, Thörne A, et al. Effect of carbon dioxide pneumoperitoneum on development of atelectasis during anesthesia, examined by spiral computed tomography. Anesthesiology 2005; 102:293-299.
25. Strang CM, Hachenberg T, Fredén F, Hedenstierna G. Development of atelectasis and arterial to end-tidal PCO2-difference in a porcine model of pneumoperitoneum. Br J Anaesth 2009; 103:298-303.
26. Strang CM, Ebmeyer U, Maripuu E, et al. Improved ventilation-perfusion matching by abdominal insufflation (pneumoperitoneum) with CO2 but not with air. Minerva Anestesiol 2013; 79:617-625.
27. Longitudinal Assessment of Bariatric Surgery (LABS) Consortium. Flum DR, Belle SH, King WC, et al. Perioperative safety in the longitudinal assessment of bariatric surgery. N Engl J Med 2009; 361:445-454.
28. Colquitt JL, Pickett K, Loveman E, Frampton GK. Surgery for weight loss in adults. Cochrane Database Syst Rev 2014; 8:CD003641.
29. Salome CM, King GG, Berend N. Physiology of obesity and effects on lung function. J Appl Physiol (1985) 2010; 108:206-211.
30. Rivas E, Arismendi E, Agust A, et al. Ventilation/perfusion distribution abnormalities in morbidly obese subjects before and after bariatric surgery. Chest 2015; 147:1127-1134.
31. Markstaller K, Karmrodt J, Doebrich M, et al. Dynamic computed tomography: a novel technique to study lung aeration and atelectasis formation during experimental CPR. Resuscitation 2002; 53:307-313.
32. Kilgannon JH, Jones AE, Parrillo JE, et al. Relationship between supranormal oxygen tension and outcome after resuscitation from cardiac arrest. Circulation 2011; 123:2717-2722.
33. Kill C, Hahn O, Dietz F, et al. Mechanical ventilation during cardiopulmonary resuscitation with intermittent positive-pressure ventilation, bilevel ventilation, or chest compression synchronized ventilation in a pig model. Crit Care Med 2014; 42:e89-e95.
34. Hartmann EK, Duenges B, Boehme S, et al. Ventilation/perfusion ratios measured by multiple inert gas elimination during experimental cardiopulmonary resuscitation. Acta Anaesthesiol Scand 2014; 58:1032-1039.
35. Li Y, Tesselaar E, Borges JB, et al. Hyperoxia affects the regional pulmonary ventilation/perfusion ratio: an electrical impedance tomography study. Acta Anaesthesiol Scand 2014; 58:716-725.
36. Dellinger RP, Zimmerman JL, Taylor RW, et al. Effects of inhaled nitric oxide in patients with acute respiratory distress syndrome: results of a randomized phase II trial. Inhaled nitric oxide in ARDS Study Group. Crit Care Med 1998; 26:15-23.
37. Pipeling MR, Fan E. Therapies for refractory hypoxemia in acute respiratory distress syndrome. JAMA 2010; 304:2521-2527.
38. West JB, Dollery CT, Naimark A. Distribution of blood flow in isolated lung; relation to vascular and alveolar pressures. J Appl Physiol 1964; 19:713-724.
39. Gattinoni L, D'Andrea L, Pelosi P, et al. Regional effects and mechanism of positive end-expiratory pressure in early adult respiratory distress syndrome. JAMA 1993; 269:2122-2127.
40. Trachsel S, Hambraeus-Jonzon K, Bergquist M, et al. No redistribution of lung blood flow by inhaled nitric oxide in endotoxemic piglets pretreated with an endothelin receptor antagonist. J Appl Physiol (1985) 2015; 118:768-775.
41. Petersson J, Glenny RW. Gas exchange and ventilation-perfusion relationships in the lung. Eur Respir J 2014; 44:1023-1041.
42. Hedenstierna G. Effects of anaesthesia on ventilation/perfusion matching. Eur J Anaesthesiol 2014; 31:447-449.