medigraphic.com
ISSN 2448-8909 (Print)

2004, Number 2

<< Back Next >>

Med Crit 2004; 18 (2)

The lung and the heart in the patient with mechanical ventilation

Posadas CJG, Ugarte TA, Domínguez CG

Language: Spanish
References: 13
Page: 59-62
PDF size: 54.79 Kb.


ABSTRACT

Many physiologic changes in cardiopulmonary interactions have been attributed to mechanical ventilation. Positive pressure is responsible of both beneficent and deleterious effects of mechanical ventilation. Severe Cardiac changes can be ameliorated lowering median airway pressure, but if it is not possible, adequate intravascular volume with fluid replacement must be achieved. In some cases inotropic and vasoactive amines could be used in order to improve cardiac performance and blood pressure.


REFERENCES

  1. De Backer D et al. The effects of positive end-expiratory pressure on the splanchnic Circulation. Intensive Care Med 2000;26:361-363.

  2. Kacmarek R et al. Ventilator-associated lung injury. Int Anesthesiol Clin 1999;37:47-64.

  3. Keith R et al. Complications of mechanical ventilation. A bedside approach. Clin Chest Med 1996;17:439-451.

  4. Slutsky AS et al. Multiple system organ failure: is mechanical ventilation a contributing factor? Am J Respir Crit Care Med 1998;157:1721-1725.

  5. Matlu GM et al. Complications of mechanical ventilation. Respir Care Clin N Am 2000;6:213-252.

  6. Dreyfuss D et al. Ventilator-induced lung injury. Am J Respir Crit Care Med 1998;157:294-323.

  7. Pinsky MR. The hemodynamic consequences of mechanical ventilation: an evolving story. Intensive Care Med 1997;23:493-503.

  8. Fellahi JL et al. Does positive end-expiratory pressure ventilation improve left ventricular function? Chest 1998;114:556-562.

  9. Qvist J et al. Hemodynamic responses to mechanical ventilation with PEEP: the effect of hypervolemia. Anesthesiology 1975;42:45-55.

  10. Jardin F et al. Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 1981;304:387-92.

  11. Grace MP et al. Cardiac performance in response to PEEP in patients with cardiac dysfunction. Crit Care Med 1982;10:358-60.

  12. Versprille A et al. Negative effect of insuflation on cardiac output and pulmonary blood volume. Acta Anaesthesiol Scand 1990;34:607-15.

  13. Shuster S et al. Hemodynamics during PEEP ventilation in patients with severe left ventricular failure studied by transesophageal echocardiography. Chest 1990;97:1181-89.




2020     |     www.medigraphic.com