Haemodynamic Effects of Lung Recruitment Manoeuvres

被引：25
作者：
Lovas, Andras [1 ]
Szakmany, Tamas [2 ,3 ]
机构：
[1] Univ Szeged, Dept Anaesthesiol & Intens Therapy, H-6725 Szeged, Hungary
[2] Cardiff Univ, Inst Infect & Immunol, Dept Anaesthesia Intens Care & Pain Med, Cardiff CF14 4XN, S Glam, Wales
[3] Aneurin Bevan Univ Hlth Board, Royal Gwent Hosp, Crit Care Directorate, Newport NP20 5UB, Gwent, Wales
来源：
BIOMED RESEARCH INTERNATIONAL | 2015年 / 2015卷
关键词：
RESPIRATORY-DISTRESS-SYNDROME; PULMONARY; PRESSURE; OXYGENATION; VENTRICLE; SUPPORT; SEPSIS; IMPACT;
D O I：
10.1155/2015/478970
中图分类号：
Q81 [生物工程学（生物技术）]; Q93 [微生物学];
学科分类号：
071005 ; 0836 ; 090102 ; 100705 ;
摘要：
Atelectasis caused by lung injury leads to increased intrapulmonary shunt, venous admixture, and hypoxaemia. Lung recruitment manoeuvres aim to quickly reverse this scenario by applying increased airway pressures for a short period of time which meant to open the collapsed alveoli. Although the procedure can improve oxygenation, but due to the heart-lung and right and left ventricle interactions elevated intrathoracic pressures can inflict serious effects on the cardiovascular system. The purpose of this paper is to give an overview on the pathophysiological background of the heart-lung interactions and the best way to monitor these changes during lung recruitment.
引用
收藏
页数：7
相关论文
共 35 条
[1]   Cardiac output monitoring: an integrative perspective [J].
Alhashemi, Jamal A. ;
Cecconi, Maurizio ;
Hofer, Christoph K. .
CRITICAL CARE, 2011, 15 (02)
[2]  
Campagna JA, 2003, ANESTHESIOLOGY, V98, P1250
[3]   The pulmonary and hemodynamic effects of two different recruitment maneuvers after cardiac surgery [J].
Celebi, Serdar ;
Koner, Ozge ;
Menda, Ferdi ;
Korkut, Kubilay ;
Suzer, Kaya ;
Cakar, Nahit .
ANESTHESIA AND ANALGESIA, 2007, 104 (02) :384-390
[4]  
Cortés I, 2012, MINERVA ANESTESIOL, V78, P343
[5]   Conflicting Physiological and Genomic Cardiopulmonary Effects of Recruitment Maneuvers in Murine Acute Lung Injury [J].
Dessap, Armand Mekontso ;
Voiriot, Guillaume ;
Zhou, Tong ;
Marcos, Elisabeth ;
Dudek, Steven M. ;
Jacobson, Jeff R. ;
Machado, Roberto ;
Adnot, Serge ;
Brochard, Laurent ;
Maitre, Bernard ;
Garcia, Joe G. N. .
AMERICAN JOURNAL OF RESPIRATORY CELL AND MOLECULAR BIOLOGY, 2012, 46 (04) :541-550
[6]   Complications From Recruitment Maneuvers in Patients With Acute Lung Injury: Secondary Analysis From the Lung Open Ventilation Study [J].
Fan, Eddy ;
Checkley, William ;
Stewart, Thomas E. ;
Muscedere, John ;
Lesur, Olivier ;
Granton, John T. ;
Freitag, Andreas P. ;
Jacka, Michael ;
Ferguson, Niall D. ;
Meade, Maureen O. .
RESPIRATORY CARE, 2012, 57 (11) :1842-1849
[7]   High-Frequency Oscillation in Early Acute Respiratory Distress Syndrome [J].
Ferguson, Niall D. ;
Cook, Deborah J. ;
Guyatt, Gordon H. ;
Mehta, Sangeeta ;
Hand, Lori ;
Austin, Peggy ;
Zhou, Qi ;
Matte, Andrea ;
Walter, Stephen D. ;
Lamontagne, Francois ;
Granton, John T. ;
Arabi, Yaseen M. ;
Arroliga, Alejandro C. ;
Stewart, Thomas E. ;
Slutsky, Arthur S. ;
Meade, Maureen O. .
NEW ENGLAND JOURNAL OF MEDICINE, 2013, 368 (09) :795-805
[8]   Hemodynamic impact of a positive end-expiratory pressure setting in acute respiratory distress syndrome: Importance of the volume status [J].
Fougeres, Emilie ;
Teboul, Jean-Louis ;
Richard, Christian ;
Osman, David ;
Chemla, Denis ;
Monnet, Xavier .
CRITICAL CARE MEDICINE, 2010, 38 (03) :802-807
[9]   Acute loads applied to the right ventricle: Effect on left ventricular filling dynamics in the presence of an open pericardium [J].
Fragata, JI ;
Areias, JC .
PEDIATRIC CARDIOLOGY, 1996, 17 (02) :77-81
[10]   The impact of cardiac dysfunction on acute respiratory distress syndrome and mortality in mechanically ventilated patients with severe sepsis and septic shock: An observational study [J].
Fuller, Brian M. ;
Mohr, Nicholas M. ;
Graetz, Thomas J. ;
Lynch, Isaac P. ;
Dettmer, Matthew ;
Cullison, Kevin ;
Coney, Talia ;
Gogineni, Swetha ;
Gregory, Robert .
JOURNAL OF CRITICAL CARE, 2015, 30 (01) :65-70
1234