Hypercapnic Ventilatory Response in the Weaning of Patients with Prolonged Mechanical Ventilation

Canadian Respiratory Journal

Volumn 2017, Issue , 2017, Pages

  Lee, Chung Shu ^a   Chen, Ning Hung ^a,b   Chuang, Li Pang ^a,b   Chang, Chih Hao ^a   Li, Li Fu ^a,b   Lin, Shih Wei ^a   Huang, Hsiung Ying ^c  

^a CHANG GUNG MEMORIAL HOSPITAL   (Taiwan)

^b CHANG GUNG UNIVERSITY   (Taiwan)

^c XIAMEN CHANG GUNG HOSPITAL   (China)

Author keywords

[No Author keywords available]

Indexed keywords

ALBUMIN; CARBON DIOXIDE; HEMOGLOBIN; THYROTROPIN;

AGED; AIR CONDITIONING; ARTICLE; ARTIFICIAL VENTILATION; BLOOD GAS ANALYSIS; ELECTROCARDIOGRAPHY; FEMALE; HEART RATE; HUMAN; HYPERCAPNIA; LUNG ALVEOLUS CARBON DIOXIDE TENSION; LUNG MINUTE VOLUME; MAJOR CLINICAL STUDY; MALE; MAXIMAL INSPIRATORY PRESSURE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE SUPPORT VENTILATION; PRIORITY JOURNAL; PROVOCATION TEST; RECEIVER OPERATING CHARACTERISTIC; RESPIRATORY FAILURE; SENSITIVITY AND SPECIFICITY; WEANING; INTENSIVE CARE UNIT; LUNG FUNCTION TEST; MIDDLE AGED; REFERENCE VALUE; VENTILATOR WEANING; VERY ELDERLY;

AGED; AGED, 80 AND OVER; FEMALE; HUMANS; HYPERCAPNIA; MALE; MIDDLE AGED; REFERENCE VALUES; RESPIRATORY CARE UNITS; RESPIRATORY FUNCTION TESTS; VENTILATOR WEANING;

EID: 85042184300     PISSN: 11982241     EISSN: 19167245     Source Type: Journal    
DOI: 10.1155/2017/7381424     Document Type: Article

References (31)

1. N. R. MacIntyre, S. K. Epstein, S. Carson, D. Scheinhorn, K. Christopher, and S. Muldoon, "Management of patients requiring prolonged mechanical ventilation: report of a NAMDRC consensus conference, " CHEST, vol. 128, no. 6, pp. 3937-3954, 2005.
2. A. C. Kalil, M. L. Metersky, M. Klompas et al., "Management of AdultsWithHospital-acquired andVentilator-associated Pneumonia: 2016 Clinical Practice Guidelines by the Infectious Diseases Society of America and the American Thoracic Society, " Clinical Infectious Diseases, vol. 63, no. 5, pp. e61-e111, 2016.
3. J. Su, C.-Y. Lin, P.-J. Chen, F. J. Lin, S.-K. Chen, and H.-T. Kuo, "Experience with a step-down respiratory care center at a tertiary referral medical center in Taiwan, " Journal of Critical Care, vol. 21, no. 2, pp. 156-161, 2006.
4. J.-M. Boles, J. Bion, A. Connors et al., "Weaning frommechanical ventilation, " European Respiratory Journal, vol. 29, no. 5, pp. 1033-1056, 2007.
5. M. J. Tobin, Principles and Practice of Mechanical Ventilation, Mc Graw Hill, 1994.
6. A. B. Montgomery, R. H. O. Holle, S. R. Neagley, D. J. Pierson, and R. B. Schoene, "Prediction of successful ventilator weaning using airway occlusion pressure and hypercapnic challenge, " CHEST, vol. 91, no. 4, pp. 496-499, 1987.
7. C. S. H. Sassoon and C. K. Mahutte, "Airway occlusion pressure and breathing pattern as predictors of weaning outcome, " American Review of Respiratory Disease, vol. 148, no. 4, pp. 860-866, 1993.
8. X. J. Capdevila, P. F. Perrigault, P. J. Perey, J. P. A. Roustan, and F. D'Athis, "Occlusion pressure and its ratio to maximum inspiratory pressure are useful predictors for successful extubation following T-piece weaning trial, " CHEST, vol. 108, no. 2, pp. 482-489, 1995.
9. Y.-K. Wu, C.-H. Lee, B.-C. Shia, Y.-H. Tsai, and T. C. Y. Tsao, "Response to hypercapnic challenge is associated with successfulweaning fromprolonged mechanical ventilation due to brain stem lesions, " Intensive CareMedicine, vol. 35, no. 1, pp. 108-114, 2009.
10. D. J. Read, "A clinical method for assessing the ventilatory response to carbon dioxide, " Australasian Annals of Medicine, vol. 16, no. 1, pp. 20-32, 1967.
11. D. J. Read and J. Leigh, "Blood-brain tissue P2 relationships and ventilation during rebreathing, " Journal of Applied Physiology, vol. 23, no. 1, pp. 53-70, 1967.
12. R. A. Mitchell, H. H. Loeschcke, W. H. Massion, and J. W. Severinghaus, "Respiratory responses mediated through superficial chemosensitive areas on the medulla, " Journal of Applied Physiology, vol. 18, no. 3, pp. 523-533, 1963.
13. D. Ceorgopoulos, I. Mitrouska, K. Webster, Z. Bshouty, and M. Younes, "Effects of inspiratory muscle unloading on the response of respiratorymotor output to CO2, "American Journal of Respiratory and Critical Care Medicine, vol. 155, no. 6, pp. 2000-2009, 1997.
14. J. M. Raurich, G. Rialp, J. Ibáñez, C. Campillo, I. Ayestarán, and C. Blanco, "Hypercapnia test as a predictor of success in spontaneous breathing trials and extubation, " Respiratory Care, vol. 53, no. 8, pp. 1012-1018, 2008.
15. J. M. Raurich, G. Rialp, J. Ibáñez, J. A. Llompart-Pou, and I. Ayestarán, "CO2 response and duration of weaning from mechanical ventilation, " Respiratory Care, vol. 56, no. 8, pp. 1130-1136, 2011.
16. P. Solin, T. Roebuck, D. P. Johns, E. H. Walters, and M. T. Naughton, "Peripheral and central ventilatory responses in central sleep apnea with and without congestive heart failure, " American Journal of Respiratory and Critical CareMedicine, vol. 162, no. 6, pp. 2194-2200, 2000.
17. R. Jokic, T. Zintel, G. Sridhar, C. G. Gallagher, and M. F. Fitzpatrick, "Ventilatory responses to hypercapnia and hypoxia in relatives of patientswith the obesity hypoventilation syndrome, " Thorax, vol. 55, no. 11, pp. 940-945, 2000.
18. J. M. Raurich, G. Rialp, J. Ibáñez, I. Ayestarán, J. A. Llompart-Pou, and B. Togores, "Hypercapnia test and weaning outcome from mechanical ventilation in COPD patients, " Anaesthesia and Intensive Care, vol. 37, no. 5, pp. 726-732, 2009.
19. J. F. Murray and J. A. Nadel, Textbook of Respiratory Medicine, W. B. Saunders Company, 1988.
20. J. L. Pourriat, M. Baud, C. Lamberto, J. P. Fosse, and M. Cupa, "Effects of doxapram on hypercapnic response during weaning from mechanical ventilation in COPD patients, " CHEST, vol. 101, no. 6, pp. 1639-1643, 1992.
21. D. D. Peterson, A. I. Pack, D. A. Silage, and A. P. Fishman, "Effects of aging on ventilatory and occlusion pressure responses to hypoxia and hypercapnia, " The American Review of Respiratory Disease, vol. 124, no. 4, pp. 387-391, 1981.
22. C. S. H. Sassoon, V. J. Caiozzo, A. Manka, and G. C. Sieck, "Altered diaphragm contractile properties with controlled mechanical ventilation, " Journal of Applied Physiology, vol. 92, no. 6, pp. 2585-2595, 2002.
23. A. Jubran and M. J. Tobin, "Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation, " American Journal of Respiratory and Critical Care Medicine, vol. 155, no. 3, pp. 906-915, 1997.
24. J. Smith and F. Bellemare, "Effect of lung volume on in vivo contraction characteristics of human diaphragm, " Journal of Applied Physiology, vol. 62, no. 5, pp. 1893-1900, 1987.
25. N. L. Jones, D. G. Robertson, and J. W. Kane, "Difference between end-tidal and arterial P2 in exercise, " Journal of Applied Physiology: Respiratory, Environmental And Exercise Physiology, vol. 47, no. 5, pp. 954-960, 1979.
26. C. M. St Croix, D. A. Cunningham, Kowalchuk. J. M., and et al., "Estimation of arterial P2in the elderly, " Journal of Applied Physiology, vol. 79, no. 6, pp. 2086-2093, 1995.
27. H. Benallal and T. Busso, "Analysis of end-tidal and arterial P2 gradients using a breathingmodel, " European Journal of Applied Physiology, vol. 83, no. 4-5, pp. 402-408, 2000.
28. G. Hermans, A. Agten, D. Testelmans, M. Decramer, and G. Gayan-Ramirez, "Increased duration of mechanical ventilation is associated with decreased diaphragmatic force: a prospective observational study, " Critical Care, vol. 14, article R127, 2010.
29. S. K. Powers, A. N. Kavazis, and S. Levine, "Prolongedmechanical ventilation alters diaphragmatic structure and function, " Critical Care Medicine, vol. 37, no. 10, pp. S347-S353, 2009.
30. J. Dermot Frengley, G. R. Sansone, K. Shakya, and R. J. Kaner, "Prolonged mechanical ventilation in 540 seriously Ill older adults: effects of increasing age on clinical outcomes and survival, " Journal of the American Geriatrics Society, vol. 62, no. 1, pp. 1-9, 2014.
31. J. Li, Q. Y. Zhan, and C. Wang, "Survey of prolonged mechanical ventilation in intensive care units in mainland China, " Respiratory Care, vol. 61, no. 9, pp. 1224-1231, 2016.