Skip to main content
Hauptrubriken
CME Facharzt-Training Webinare Zeitschriften Bücher e.Medpedia Podcast
Service
Jobbörse Info & Hilfe
Fachgebiete
Anästhesiologie Allgemeinmedizin Arbeitsmedizin Augenheilkunde Chirurgie Dermatologie Gynäkologie und Geburtshilfe HNO Innere Medizin Kardiologie Neurologie Onkologie und Hämatologie Orthopädie und Unfallchirurgie Pädiatrie Pathologie Psychiatrie Radiologie Rechtsmedizin Urologie Zahnmedizin
Themen
Klimawandel und Gesundheit Neues aus dem Markt COVID-19 Praxis und Beruf Seltene Erkrankungen GOÄ & EBM Panorama
Sammlungen
Kasuistiken Algorithmen & Infografiken Blickdiagnosen Arthropedia FlapFinder (für Dermatochirurgen) Videos Kongressberichterstattung Medizin für Apothekerinnen und Apotheker Für Ärztinnen und Ärzte in Weiterbildung Für Medizinstudierende
Erweiterte Suche
Anmelden
nach oben
Critical Care
Erschienen in: Critical Care 4/2001

01.08.2001 | Review

Overdistension in ventilated children

Erschienen in: Critical Care | Ausgabe 4/2001

Einloggen, um Zugang zu erhalten

Abstract

Ventilating patients with acute respiratory failure according to standardized recommendations can lead to varying volume–pressure (V-P) relationships and overdistension. Young children may be more susceptible than adults to overdistension, and individual evaluation of the effects of ventilator settings is therefore required. Three studies have applied indices for the detection of overdistension to dynamic V-P curves in ventilated children. Two of those studies compared these indices to those obtained using a reference technique ([quasi]-static V-P curves), and suggested that the c coefficient of a second order polynomial equation (SOPE) and the ratio of the volume-dependent elastance to total dynamic elastance (%E2) were suitable indices for estimating overdistension.
Literatur
1.
Matamis D, Lemaire F, Harf A, Brun-Buisson C, Ansquer JC, Atlan G: Total respiratory pressure–volume curves in the adult respiratory distress syndrome. Chest 1984, 86: 58-66.CrossRefPubMed
2.
Tremblay L, Valenza F, Ribeiro SP, Li J, Slutsky AS: Injurious ventilatory strategies increase cytokines and c-fos m-RNA expression in an isolated rat lung model. J Clin Invest 1997, 99: 944-952.PubMedCentralCrossRefPubMed
3.
Laffey JG, Engelberts D, Kavanagh BP: Buffering hypercapnic acidosis worsens acute lung injury. Am J Respir Crit Care Med 2000, 6: 141-146.CrossRef
4.
Slutsky AS, Tremblay LN: Multiple system organ failure. Is mechanical ventilation a contributing factor? Am J Respir Crit Care Med 1998, 157: 1721-1725.CrossRefPubMed
5.
Muscedere JG, Mullen JB, Gan K, Slutsky AS: Tidal ventilation at low airway pressure can augment lung injury. Am J Respir Crit Care Med 1994, 149: 1327-1334.CrossRefPubMed
6.
Dreyfuss D, Saumon G: Role of tidal volume, FRC and end-expiratory volume in the development of pulmonary oedema following mechanical ventilation. Am Rev Respir Dis 1993, 148: 1194-1203.CrossRefPubMed
7.
Slutsky AS: Lung injury caused by mechanical ventilation. Chest 1999, 116(suppl): 9S-15S.CrossRef
8.
International Consensus Conferences in Intensive Care Medicine: Ventilator-associated lung injury in ARDS. Am J Respir Crit Care Med 1999, 160: 2118-2124.CrossRef
9.
Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G, Kairalla RA, Deheinzelin D, Munoz C, Oliveira R, Takagaki TY, Carvalho CR: Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998, 338: 347-354. 10.1056/NEJM199802053380602CrossRefPubMed
10.
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: 1301-1308. 10.1056/NEJM200005043421801CrossRef
11.
Ranieri VM, Suter PM, Tortorella C, De Tullio R, Dayer JM, Brienza A, Bruno F, Slutsky AS: Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomised controlled trial. JAMA 1999, 282: 54-61. 10.1001/jama.282.1.54CrossRefPubMed
12.
13.
Roupie E, Dambrosio M, Servillo G, Mentec H, el Atrous S, Beydon L, Brun-Buisson C, Lemaire F, Brochard L: Titration of tidal volume and induced hypercapnia in acute respiratory distress syndrome. Am J Respir Crit Care Med 1995, 152: 121-128.CrossRefPubMed
14.
Hickling KG: The pressure–volume curve is greatly modified by recruitment. A mathematical model of ARDS lungs. Am J Respir Crit Care Med 1998, 158: 194-202.CrossRefPubMed
15.
Papastamelos C, Panitch HB, England SE, Allen JL: Developmental changes in chest wall compliance in infancy and early childhood. J Appl Physiol 1995, 78: 179-184.PubMed
16.
Clark RH, Slutsky AS, Gertsmann DR: Commentaries.Lung protective strategies of ventilation in the neonate: what are they? Pediatrics 2000, 105: 112-114.CrossRefPubMed
17.
Brochard L: Respiratory pressure-volume curves. In: Principle and Practice of Intensive Care Monitoring. Edited by Tobin MJ. New York: McGraw-Hill, Inc; 1998, 597-605.
18.
Lu Q, Vieira SR, Richecoeur J, Puybasset L, Kalfon P, Coriat P, Rouby JJ: A simple automated method for measuring pressure-volume curves during mechanical ventilation. Am J Respir Crit Care Med 1999, 159: 275-282.CrossRefPubMed
19.
Servillo G, Svantesson C, Beydon L, Roupie E, Brochard L, Lemaire F, Jonson B: Pressure–volume curves in acute respiratory failure. Automated low flow inflation versus occlusion. Am J Respir Crit Care Med 1997, 155: 1629-1636.CrossRefPubMed
20.
Fisher JB, Mammel MC, Coleman JM, Bing DR, Boros SJ: Identifying lung overdistension during mechanical ventilation by using volume-pressure loops. Pediatr Pulmonol 1988, 5: 10-14.CrossRefPubMed
21.
Kano S, Lanteri CJ, Duncan AW, Sly PD: Influence of nonlinearities on estimates of respiratory mechanics using multilinear regression analysis. J Appl Physiol 1994, 77: 1185-1197.PubMed
22.
Nève V, de la Roque ED, Leclerc F, Leteurtre S, Dorkenoo A, Sadik A, Cremer R, Logier R: Ventilator-induced overdistension in children: dynamic versus low-flow inflation volume-pressure curves. Am J Respir Crit Care Med 2000, 162: 139-147.CrossRefPubMed
23.
Ranieri VM, Giuliani R, Fiore T, Dambrosio M, Milic-Emili J: Volume–pressure curve of the respiratory system predicts effects of PEEP in ARDS: 'occlusion' versus 'constant flow' technique. Am J Respir Crit Care Med 1994, 149: 19-27.CrossRefPubMed
24.
Surrat PM, Owens D: A pulse method of measuring respiratory system compliance in ventilated patient. Chest 1981, 80: 34-38.
25.
Rodriguez L, Marquer B, Mardrus P, Molenat F, Le Grand JL, Reboul M, Garrigues B: A new simple method to perform pressure-volume curves obtained under quasi-static conditions during mechanical ventilation. Intensive Care Med 1999, 25: 173-179. 10.1007/s001340050812CrossRefPubMed
26.
Kacmarek RM, Hess D: Airway pressure, flow and volume waveforms, and lung mechanics during mechanical ventilation. In: Monitoring in Respiratory Care. Edited by Kacmarek RM, Hess D, Stoller JK. St Louis: Mosby-Year Book, Inc; 1993, 497-543.
27.
Bartel LP, Bazik JR, Powner DJ: Compression volume during mechanical ventilation: comparison of ventilators and tubing circuits. Crit Care Med 1985, 13: 851-854.CrossRefPubMed
28.
Guerin C, Viale JP, Chambrin MC, Annat G: Definition and reliability of monitored parameters: pressures, flows and volumes [in French]. Réan Urg 2000, 9: 413-420. 10.1016/S1164-6756(00)90019-7CrossRef
29.
Leclerc F, Riou Y, Fourier C, Flurin V, Martinot A, Hue V, Deschil-dre A: Measurement of respiratory mechanics in mechanically ventilated children with the Siemens Servoventilator 900C [in French]. Réan Urg 1995, 2: 161-167.CrossRef
30.
Sola A, Farina D, Rodriguez S, Kurlat I: Lack of relationship between the true airway pressure and the pressure displayed with an infant ventilator. Crit Care Med 1992, 20: 778-781.CrossRefPubMed
31.
Ranieri VM, Eissa NT, Corbeil C, Chasse M, Braidy J, Matar N, Milic-Emili J: Effects of positive end-expiratory pressure on alveolar recruitment and gas exchange in patients with the adult respiratory distress syndrome. Am Rev Respir Dis 1991, 144: 544-551.CrossRefPubMed
32.
Kosch PC, Hutchison AA, Wozniak JA, Waldemar AC, Stark AR: Posterior cricoarytenoid and diaphragm activities during tidal breathing in neonates. J Appl Physiol 1988, 64: 1968-1978.PubMed
33.
34.
Otis AB, McKerrow CB, Bartlett RA, Mead J, mcIlroy MD, Selverstone NJ, Radford EP: Mechanical factors in distribution of pulmonary ventilation. J Appl Physiol 1956, 8: 427-443.PubMed
35.
Svantesson C, John J, Taskar V, Evander E, Jonson B: Respiratory mechanics in rabbits ventilated with different tidal volumes. Respir Physiol 1996, 106: 307-316. 10.1016/S0034-5687(96)00084-9CrossRefPubMed
36.
Beydon L, Svantesson C, Brauer K, Lemaire F, Jonson B: Respiratory mechanics in patients ventilated for critical lung disease. Eur Respir J 1996, 9: 262-273. 10.1183/09031936.96.09020262CrossRefPubMed
37.
Hickling KG: Best compliance during a decremental but not incremental positive end-expiratory pressure trial is related to open lung positive end-expiratory pressure. A mathematical model of acute respiratory distress syndrome lungs. Am J Respir Crit Care Med 2001, 163: 69-78.CrossRefPubMed
38.
Pelosi P, Cereda M, Foti G, Giacomini M, Pesenti A: Alteration of lung and chest wall mechanics in patients with acute lung injury: effect of positive end-expiratory pressure. Am J Respir Crit Care Med 1995, 152: 531-537.CrossRefPubMed
39.
Gattinoni L, Pelosi P, Suter PM, Pedoto A, Vercesi P, Lissoni A: Acute respiratory distress syndrome caused by pulmonary and extra pulmonary disease. Different syndromes? Am J Respir Crit Care Med 1998, 158: 3-11.CrossRefPubMed
40.
Mergoni M, Martelli A, Volpi A, Primavera S, Zuccoli P, Rossi A: Impact of positive end-expiratory pressure on chest wall and lung pressure–volume curve in acute respiratory failure. Am J Respir Crit Care Med 1997, 156: 846-854.CrossRefPubMed
41.
Mols G, Brandes I, Kessler V, Lichtwarck-Aschoff M, Loop T, Geiger K, Guttmann J: Volume-dependent compliance in ARDS: proposal of a new diagnostic concept. Intensive Care Med 1999, 25: 1084-1091. 10.1007/s001340051016CrossRefPubMed
42.
Ranieri VM, Zhang HAIBO, Mascia L, Aubin M, Lin CY, Mullen JB, Grasso S, Binnie M, Volgyesi GA, Eng P, Slutsky AS: Pressure–time curve predicts minimally injurious ventilatory strategy in an isolated rat lung model. Anesthesiology 2000, 93: 1320-1328. 10.1097/00000542-200011000-00027CrossRefPubMed
Metadaten
Titel
Overdistension in ventilated children
Publikationsdatum
01.08.2001
Erschienen in
Critical Care / Ausgabe 4/2001
Elektronische ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc1023

Weitere Artikel der Ausgabe 4/2001

Critical Care 4/2001 Zur Ausgabe

Research

Airway pressure release ventilation increases cardiac performance in patients with acute lung injury/adult respiratory distress syndrome

Research

Case report: Capgras syndrome: a clinical manifestation of watershed cerebral infarct complicating the use of extracorporeal membrane oxygenation

Review

Optimizing antibiotic therapy in the intensive care unit setting

Commentary

Evaluating our end-of-life practice

Meeting report

The 26th Congress of the Scandinavian Society of Anaesthesiology and Intensive Care Medicine, Tromso, Norway, 13-17 June 2001

Commentary

Helium oxygen mixtures in the intensive care unit

Neu im Fachgebiet AINS

Akuter Schwindel: Wann lohnt sich eine MRT?

28.04.2024 Schwindel Nachrichten

Akuter Schwindel stellt oft eine diagnostische Herausforderung dar. Wie nützlich dabei eine MRT ist, hat eine Studie aus Finnland untersucht. Immerhin einer von sechs Patienten wurde mit akutem ischämischem Schlaganfall diagnostiziert.

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

25.04.2024 Allergien und Intoleranzreaktionen Nachrichten

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

hier abonnieren
Bildnachweise