Targeting transpulmonary pressure to prevent ventilator-induced lung injury

Expert Review of Respiratory Medicine

Volumn 13, Issue 8, 2019, Pages 737-746

  Gattinoni, Luciano ^a   Giosa, Lorenzo ^a   Bonifazi, Matteo ^a   Pasticci, Iacopo ^a   Busana, Mattia ^a   Macri, Matteo ^a   Romitti, Federica ^a   Vassalli, Francesco ^a   Quintel, Michael ^a  

^a UNIVERSITY OF GÖTTINGEN   (Germany)

Author keywords

ARDS; esophageal pressure; mechanical ventilation; pleural pressure; stress; transpulmonary pressure; VILI

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE; ARTIFICIAL VENTILATION; BREATHING RATE; ESOPHAGUS PRESSURE; HUMAN; LUNG COMPLIANCE; LUNG INFLATION; LUNG PRESSURE; LUNG VOLUME; POSITIVE END EXPIRATORY PRESSURE; RESPIRATORY SYSTEM; REVIEW; THORAX PRESSURE; THORAX WALL; VENTILATOR INDUCED LUNG INJURY; VENTILATOR WEANING;

HUMANS; RESPIRATION, ARTIFICIAL; VENTILATOR-INDUCED LUNG INJURY;

EID: 85070443087     PISSN: 17476348     EISSN: 17476356     Source Type: Journal    
DOI: 10.1080/17476348.2019.1638767     Document Type: Review

References (64)

1. Acute Respiratory Distress Syndrome N, Brower RG, Matthay MA, et al. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1301–1308.
2. Serpa Neto A, Hemmes SN, Barbas CS, et al. Protective versus conventional ventilation for surgery: a systematic review and individual patient data meta-analysis. Anesthesiology. 2015 Jul;123(1):66–78.
3. Futier E, Constantin JM, Paugam-Burtz C, et al. A trial of intraoperative low-tidal-volume ventilation in abdominal surgery. N Engl J Med. 2013 Aug 1;369(5):428–437.
4. Vincent JL., The future of critical care medicine: integration and personalization. Crit Care Med. 2016 Feb;44(2):386–389.
5. Gattinoni L, Carlesso E, Cadringher P, et al. Physical and biological triggers of ventilator-induced lung injury and its prevention. Eur Respir J Suppl. 2003;47:15s–25s.
6. Otis AB, Fenn WO, Rahn H., Mechanics of breathing in man. J Appl Physiol. 1950 May;2(11):592–607.
7. Gattinoni L, Vagginelli F, Chiumello D, et al. Physiologic rationale for ventilator setting in acute lung injury/acute respiratory distress syndrome patients. Crit Care Med. 2003 Apr;31(4 Suppl):S300–4.
8. Australia, New Zealand Extracorporeal Membrane Oxygenation Influenza I, Davies A, et al. Extracorporeal membrane oxygenation for 2009 influenza A(H1N1) acute respiratory distress syndrome. JAMA. 2009 Nov 4;302(17):1888–1895.
9. Gattinoni L, Chiumello D, Carlesso E, et al. Bench-to-bedside review: chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care. 2004 Oct;8(5):350–355.
10. Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med. 2012 Mar;38(3):395–403.
11. Katz JA, Zinn SE, Ozanne GM, et al. Pulmonary, chest wall, and lung-thorax elastances in acute respiratory failure. Chest. 1981 Sep;80(3):304–311.
12. Ladosky W, Botelho MA, Albuquerque JP, Jr. Chest mechanics in morbidly obese non-hypoventilated patients. Respir Med. 2001 Apr;95(4):281–286.
13. Pelosi P, Cereda M, Foti G, et al. Alterations of lung and chest wall mechanics in patients with acute lung injury: effects of positive end-expiratory pressure. Am J Respir Crit Care Med. 1995 Aug;152(2):531–537.
14. Bone RC. The ARDS lung. New insights from computed tomography. Jama. 1993 Apr 28;269(16):2134–2135.
15. 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 Apr 28;269(16):2122–2127.
16. Mead J, Takishima T, Leith D. Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol. 1970 May;28(5):596–608.
17. Chiumello D, Carlesso E, Cadringher P, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med. 2008 Aug 15;178(4):346–355.
18. Protti A, Andreis DT, Milesi M, et al. Lung anatomy, energy load, and ventilator-induced lung injury. Intensive Care Med Exp. 2015 Dec;3(1):34.
19. Moreira LF, Aires ST, Gobbi CF, et al. Respiratory system, lung, and chest wall mechanics after longitudinal laparotomy in rats. Eur Respir J. 1995 Jan;8(1):105–108.
20. Protti A, Andreis DT, Monti M, et al. Lung stress and strain during mechanical ventilation: any difference between statics and dynamics? Crit Care Med. 2013 Apr;41(4):1046–1055.
21. Milic-Emili J, Mead J, Turner JM, et al. Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol. 1964;19:207–211.
22. Coates MM. Learning at the conference. J Hum lactation. 1991 Dec;7(4):174.
23. Mojoli F, Chiumello D, Pozzi M, et al. Esophageal pressure measurements under different conditions of intrathoracic pressure. An in vitro study of second generation balloon catheters. Minerva Anestesiol. 2015 Aug;81(8):855–864.
24. Mojoli F, Iotti GA, Torriglia F, et al. In vivo calibration of esophageal pressure in the mechanically ventilated patient makes measurements reliable. Crit Care. 2016 Apr;11(20):98.
25. Hotz JC, Sodetani CT, Van Steenbergen J, et al. Measurements obtained from esophageal balloon catheters are affected by the esophageal balloon filling volume in children with ARDS. Respir Care. 2018 Feb;63(2):177–186.
26. Hanson RL. Predictive criteria for length of nasogastric tube insertion for tube feeding. JPEN. 1979 May-Jun;3(3):160–163.
27. Mauri T, Yoshida T, Bellani G, et al. Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med. 2016 Sep;42(9):1360–1373.
28. Baydur A, Behrakis PK, Zin WA, et al. A simple method for assessing the validity of the esophageal balloon technique. Am Rev Respir Dis. 1982 Nov;126(5):788–791.
29. Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med. 2014 Mar 1;189(5):520–531.
30. Chiumello D, Consonni D, Coppola S, et al. The occlusion tests and end-expiratory esophageal pressure: measurements and comparison in controlled and assisted ventilation. Ann Intensive Care. 2016 Dec;6(1):13.
31. Loring SH, Topulos GP, Hubmayr RD. Transpulmonary pressure: the importance of precise definitions and limiting assumptions. Am J Respir Crit Care Med. 2016 Dec 15;194(12):1452–1457.
32. Loring SH, O’Donnell CR, Behazin N, et al. Esophageal pressures in acute lung injury: do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress? J Appl Physiol (1985). 2010 Mar;108(3):515–522.
33. Kochi T, Okubo S, Zin WA, et al. Flow and volume dependence of pulmonary mechanics in anesthetized cats. J Appl Physiol (1985). 1988 Jan;64(1):441–450.
34. Bayliss LE, Robertson GW. The visco‐elastic properties of the lungs. Exp Physiol. 1939;29(1):27–47.
35. Bates JH, Rossi A, Milic-Emili J. Analysis of the behavior of the respiratory system with constant inspiratory flow. J Appl Physiol (1985). 1985 Jun;58(6):1840–1848.
36. Bates JH, Ludwig MS, Sly PD, et al. Interrupter resistance elucidated by alveolar pressure measurement in open-chest normal dogs. J Appl Physiol (1985). 1988 Jul;65(1):408–414.
37. Protti A, Maraffi T, Milesi M, et al. Role of strain rate in the pathogenesis of ventilator-induced lung edema. Crit Care Med. 2016 Sep;44(9):e838–45.
38. Gattinoni L, Pelosi P, Suter PM, et al. Acute respiratory distress syndrome caused by pulmonary and extrapulmonary disease. Different syndromes? Am J Respir Crit Care Med. 1998 Jul;158(1):3–11.
39. Dellamonica J, Lerolle N, Sargentini C, et al. PEEP-induced changes in lung volume in acute respiratory distress syndrome. Two methods to estimate alveolar recruitment. Intensive Care Med. 2011 Oct;37(10):1595–1604.
40. Patroniti N, Bellani G, Cortinovis B, et al. Role of absolute lung volume to assess alveolar recruitment in acute respiratory distress syndrome patients. Crit Care Med. 2010 May;38(5):1300–1307.
41. Loring SH, Topulos GP, Hubmayr RD. Reply: transpulmonary pressure meaning: babel or conceptual evolution? Am J Respir Crit Care Med. 2017 May 15;195(10):1405–1406.
42. Pelosi P, Goldner M, McKibben A, et al. Recruitment and derecruitment during acute respiratory failure: an experimental study. Am J Respir Crit Care Med. 2001 Jul 1;164(1):122–130.
43. Yoshida T, Amato MBP, Grieco DL, et al. Esophageal manometry and regional transpulmonary pressure in lung injury. Am J Respir Crit Care Med. 2018 Apr 15;197(8):1018–1026.
44. Talmor D, Sarge T, O’Donnell CR, et al. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med. 2006 May;34(5):1389–1394.
45. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med. 2008 Nov 13;359(20):2095–2104.
46. Stenqvist O, Grivans C, Andersson B, et al. Lung elastance and transpulmonary pressure can be determined without using oesophageal pressure measurements. Acta Anaesthesiol Scand. 2012 Jul;56(6):738–747.
47. Bellani G, Laffey JG, Pham T, et al. Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA. 2016 Feb 23;315(8):788–800.
48. Protti A, Cressoni M, Santini A, et al. Lung stress and strain during mechanical ventilation: any safe threshold? Am J Respir Crit Care Med. 2011 May 15;183(10):1354–1362.
49. Mercat A, Richard JC, Vielle B, et al. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. Jama. 2008 Feb 13;299(6):646–655.
50. Beitler JR, Sarge T, Banner-Goodspeed VM, et al. Effect of titrating positive end-expiratory pressure (PEEP) with an esophageal pressure-guided strategy vs an empirical high PEEP-Fio2 strategy on death and days free from mechanical ventilation among patients with acute respiratory distress syndrome: a randomized clinical trial. JAMA. 2019;321(9):846-857. doi:10.1001/jama.2019.0555
51. Tobin MJ. Culmination of an era in research on the acute respiratory distress syndrome. N Engl J Med. 2000 May 4;342(18):1360–1361.
52. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med. 2015 Feb 19;372(8):747–755.
53. Files DC, Sanchez MA, Morris PE. A conceptual framework: the early and late phases of skeletal muscle dysfunction in the acute respiratory distress syndrome. Crit Care. 2015 Jul;2(19):266.
54. Gattinoni L, Marini JJ, Collino F, et al. The future of mechanical ventilation: lessons from the present and the past. Crit Care. 2017 Jul 12;21(1):183.
55. Cressoni M, Cadringher P, Chiurazzi C, et al. Lung inhomogeneity in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med. 2014 Jan 15;189(2):149–158.
56. Cressoni M, Chiumello D, Chiurazzi C, et al. Lung inhomogeneities, inflation and [18F]2-fluoro-2-deoxy-D-glucose uptake rate in acute respiratory distress syndrome. Eur Respir J. 2016 Jan;47(1):233–242.
57. Kumar A, Pontoppidan H, Falke KJ, et al. Pulmonary barotrauma during mechanical ventilation. Crit Care Med. 1973 Jul-Aug;1(4):181–186.
58. Dreyfuss D, Soler P, Basset G, et al. High inflation pressure pulmonary edema. Respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis. 1988 May;137(5):1159–1164.
59. Cressoni M, Gotti M, Chiurazzi C, et al. Mechanical power and development of ventilator-induced lung injury. Anesthesiology. 2016 May;124(5):1100–1108.
60. Collino F, Rapetti F, Vasques F, et al. Positive end-expiratory pressure and mechanical power. Anesthesiology. 2019 Jan;130(1):119–130.
61. Gattinoni L, Tonetti T, Cressoni M, et al. Ventilator-related causes of lung injury: the mechanical power. Intensive Care Med. 2016 Oct;42(10):1567–1575.
62. Serpa Neto A, Deliberato RO, Johnson AEW, et al. Mechanical power of ventilation is associated with mortality in critically ill patients: an analysis of patients in two observational cohorts. Intensive Care Med. 2018 Nov;44(11):1914–1922.
63. Terragni PP, Del Sorbo L, Mascia L, et al. Tidal volume lower than 6 ml/kg enhances lung protection: role of extracorporeal carbon dioxide removal. Anesthesiology. 2009 Oct;111(4):826–835.
64. Combes A, Hajage D, Capellier G, et al. Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome. N Engl J Med. 2018 May 24;378(21):1965–1975.