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Intensive Care Medicine

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01.02.2009 | Review

Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care

verfasst von: François Feihl, Alain F. Broccard

Erschienen in: Intensive Care Medicine | Ausgabe 2/2009

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Abstract

In Part I of this review, we have covered basic concepts regarding cardiorespiratory interactions. Here, we put this theoretical framework to practical use. We describe mechanisms underlying Kussmaul’s sign and pulsus paradoxus. We review the literature on the use of respiratory variations of blood pressure to evaluate volume status. We show the possibilities of attaining the latter aim by investigating with ultrasonography how the geometry of great veins fluctuates with respiration. We provide a Guytonian analysis of the effects of PEEP on cardiac output. We terminate with some remarks on the potential of positive pressure breathing to induce acute cor pulmonale, and on the cardiovascular mechanisms that at times may underly the failure to wean a patient from the ventilator.

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Titel: Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care
verfasst von: François Feihl
Alain F. Broccard
Publikationsdatum: 01.02.2009
Verlag: Springer-Verlag
Erschienen in: Intensive Care Medicine / Ausgabe 2/2009
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI: https://doi.org/10.1007/s00134-008-1298-y

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