2008, Number 4
<< Back Next >>
Med Crit 2008; 22 (4)
Weaning modalities: Pressure ventilation support, biphasic positive airway pressure ventilation and airway pressure release ventilation
Montes OSMA, Rodríguez RJ, Villalobos SJA, Franco GJ
Language: Spanish
References: 54
Page: 260-270
PDF size: 191.00 Kb.
ABSTRACT
Weaning of mechanical ventilatory assistance (AMV), is a progressive decline of the mechanical ventilation support in order to make a patient to breathe by himself. The pressure ventilation support (VPS) is a form of partial ventilatory assistance, also used as a method of gradual withdrawal of mechanical ventilation (VMI) and during the non-invasive mechanical ventilation (VMNi). It is an alternative to reduce the respiratory work, where the patient has control of the respiratory rate and is able to be assisted during the inspiratory effort (the work of breathing is shared by the patient and the ventilator) and it has also been shown that the patient feels more comfortable with this form of ventilatory support.
REFERENCES
Tobin, Martin, Jubran. Patient ventilator interaction. Am J Respir Crit Care Med 2001;163:1059-63.
MacIntyre NR. Respiratory function during pressure support ventilation. Chest 1986;89:677-83.
Brochard I, Pluskwa F, Lemaire F. Improved efficacy of spontaneous breathing with inspiratory pressure support. Am Rev Respir Dis 1987;136:411-5.
Braschi A, Sala Gallini G, Lotti G, Chiaranda M, Villa S. Relationships between sensivity of the expiratory trigger and breathing pattern during pressure support ventilation. Am Rev Respir Dis 1989;139 (Suppl):A 361.
Brochard L, Rua F, Lorino H, Lemaire F, Harf A. Inspiratory pressure support compensates for the additional work of breathing caused by the endotracheal tube. Anesthesiology 1991;75:739-45.
Pardo JC, Gómez JA, Carrillo A, Palazón C. Efecto de la ventilación con soporte de presión sobre el metabolismo hidromineral y los niveles plasmáticos de hormona antidiuretica y péptido atrial natriurético. Med Intensiva 1992;16:131-7.
Brochard L, Rauss A, Benito S, Conti G, Mancebo J, Rekik N et al. Comparison of the three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994;150:896-903.
Esteban A, Frutos F, Tobin MJ, Alía I, Solsona JF, Vallverdú I et al. A comparison of four methods of weaning patients from mechanical ventilation. N Englan J Med 1995:332:345-50.
MacIntyre NR, Leatherman NE. Ventilatory muscle loads and the frequency-tidal volume pattern during inspiratory pressure assisted (pressure-supported) ventilation. Am Rev Respir Dis 1990;141:327-31.
Brochard L, Pluskwa F, Lemaire F. Improved efficacy of spontaneus breathing with inspiratory pressure support. Am Rev Respir Dis 1987;136:411-5.
Brochard L, Isabey D, Piquet L, Amaro P, Mancebo J, Messadi AA et al. Reversal of acute exacerbation of chronic obstructive lung disease by inspiratory assistance with a face mask. N Engl J Med 1990;323:1523-30.
Brochard L, Mancebo J, Wysocki M, Lofaso F, Conti G, Rauss A et al. Noinvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 1995:333:817-22.
MacIntyre NR. Pressure support ventilation. Respir Care 1986:31:189-190.
Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994;150(4):896-903.
Stock MC, Downs JB, Frolicher DA. Airway pressure release ventilation. Crit Care Med 1987;15:462-6.
Dart BW, Maxwell RA, Richart CM et al. Preliminary experience with airway pressure release ventilation in a trauma/surgical intensive care unit. J Trauma 2005;59:71-76.
Dechert RE. The pathophysiology of acute respiratory distress syndrome. Respir Care Clin 2003:283-96.
Gattinoni L, Bombino M, Pelosi P et al. Lung structure and function in different stages of severe adult respiratory distress syndrome. JAMA 1994;271:1772-9.
Gattinoni L, Caironi P, Pelosi P, Goodman LG. What has computed tomography taught us about the acute respiratory distress syndrome? Am J Respir Crit Care Med 2001;164:1701-11.
Gattinoni L, Pelosi P, Suter PM et al. Acute respiratory distress syndrome caused by pulmonary and extra-pulmonary disease. Am J Respir Crit Care Med 1998;158:3-11.
Puybasset L, Cluzel P, Chao N et al. A computed tomography scan assessment of regional lung volume in acute lung injury. Am J Respir Crit Care Med 1998;158: 1644-55.
Bernasconi M, Ploysongsang Y, Gottfried SB, Milic-Emili J, Rossi A. Respiratory compliance and resistance in mechanically ventilated patients with acute respiratory failure. Intensive Care Med 1988;14:547.
The National Heart, Lung and Blood Institute ARDS Clinical Trails Network: Higher versus lower positive end-expiratory pressures in patients with acute respiratory distress syndrome. N Engl J Med 2004;351:327-36.
Pingleton SK. Complications of acute respiratory failure. Am Rev Respir Dis 1988;137:1463-93.
Eisner MD, Thompson T, Schoenfeld D. Airway pressures and early barotraumas in patients with acute lung injury and acute respiratory distress syndrome. Am J Respir Crit Care Med 2002;165:978-82.
Peterson GW, Baier H. Incidence of pulmonary barotraumas in a medical ICU. Crit Care Med 1983;11:67-71.
The Acute Respiratory Distress Syndrome Network. 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; 342:1301.
Brochard RG, Shanholtz CB, Fessler HE et al. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med 1999;27:1492-8.
Stewart TE, Mead MO, Cook DJ et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome: the multi-center trial group on tidal volume reduction in ARDS. Am J Respir Crit Care Med 1998;158:1831-8.
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;137:1159-64.
Parke JC, Townsley MI, Rippe B et al. Increased microvascular permeability in dog lungs due to high peak airway pressures. J Appl Physiol 1984;57:1809-16.
Fu Z, Costello ML, Tsukimoto K et al. High lung volume increases stress failure in pulmonary capillaries. J Appl Physiol 1992;73:123-33.
Imanaka H, Shimaoka M, Matsuura N et al. Ventilator-induced lung injury is associated with neutrophil infiltration, macrophage activation, and TGF-Beta 1 mRNA up regulation in rat lungs. Anesthesia Analgesia 2001;92:428-36.
Ranieri VM, Suter PM, Totorella C et al. Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA 1999;282:54-61.
Crotti S, Mascheroni D, Caironi P et al. Recruitment and derecruitment during acute respiratory failure. Am J Respir Crit Care Med 2001;164:131-40.
Downs JB, Stock MC. Airway pressure release ventilation: a new concept in ventilatory support. Crit Care Med 1987;15:459-61.
Stock CM, Downs JB. Airway pressure release ventilation. Crit Care Med 1987;15:462-6.
Other approaches to open-lung ventilation: Airway pressure release ventilation. Nader M. Habashi, MD, FACP. Crit Care Med 2005;33(3):(Suppl.).
Airway pressure release and biphasic intermittent positive arway pressure ventilation: Are they ready for prime time? Christopher W. Seymour, MD, Michael Frazer, BS, RRT, CPFT, Patrick M. Reilly, MD, and Barry D. Fuchs, MD. The Journal of TRAUMA Injury, Infection, and Critical Care, Volume 62, Number 5, pag. 1298-309.
Mead J, Takishima T, Leith D. Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol 1970;28:596.
Pinhu L, Whitehead T, Evans T, Griffiths M. Ventilator-associated lung injury. Lancet 2003;361:32.
Valenza F, Guglielmi M, Maffioletti M et al. Prone position delays the progression of ventilator-induced lung injury in rats: does lung strain distribution play a role? Crit Care Med 2005;33:361-7.
Piedalue F, Albert RK. Prone positioning in acute respiratory distress syndrome. Respir Care Clin N Amer 9:495-09.
Brower RG, Ware LB, Berthiaume Y, Matthay MA. Treatment of ARDS. Chest 2001;120:1347.
Hager DN, Krishnan JA, Hayden DL, Brower RG. ARDS Clinical Trials Network. Tidal volume reduction in patients with acute lung injury when plateau pressures are not high. Amer J Respir Crit Care Med 2005;172:1241-5.
Nellcor Puritan Bennett, BiLevel Option/800 Series Ventilators, 840 Ventilator System Operator’s and Technical Reference Manual. Carlsbad. CA: Technical Publications Nellcor Puritan Bennett, 1999: Addendum 1-8.
Maquet Critical Care AB, Bi-Vent Functional description: Servo i Ventilator System V. 2.0 User’s Manual (US edition). Solna, Sweden: Getinge, 2004:59-60.
Drager Inc., APRV and PCV _ BIPAP, EVITA 4 Intensive Care Ventilator Operating Instructions (North America edition). Lubeck, Germany: Drager Medizintechnik GmbH, 1999:62-9.
Viasys Avea Plus Specifications Sheet. Available at: http:// www.viasyshealthcare.com/prod_serv/downloads/068_Avea_Plus_ Spec_Sheet.pdf. Accessed October 16, 2005.
Hamilton Medical, DuoPAP (dual positive airway pressure) and DuoPAP_ (dual positive airway pressure with extended I: E times), Galileo Gold Operator’s Manual (US edition). Rhazuns, Switzerland: Hamilton Medical AG, 2004:B10-B14.
Rasanen J. Airway pressure release ventilation. In: Tobin MJ, ed. Principles and Practice of Mechanical Ventilation. New York: McGraw-Hill, 1994:341-5.
Respironics, Inc. Product Search. Available at: http:// www.respironics.com/product_library/. Accessed October 16, 2005.
Varpula T, Jousela I, Niemi R, Takkunen O, Pettila V. Combined deffects of prone positioning and airway pressure release ventilation on gas exchange in patients with acute lung injury. Acta Anesth Scand 2003;47:516.
Neumann P, Golisch W, Strohmeyer A, Buscher H, Burchardi H, Sydow M. Influence of different release times on spontaneous breathing during airway pressure release ventilation. Intensive Care Med 2002;28:1742-9.