A Physiological Point of View on Expiratory (Re)action During Mechanical Ventilation

Overview

Journal Am J Respir Crit Care Med

Specialty Critical Care

Date 2020 Apr 3

PMID 32233982

Citations 1

Authors

Savino Spadaro

Carlo Alberto Volta

Affiliations

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Citing Articles

Update in Critical Care 2020.

Khemani R, Lee J, Wu D, Schenck E, Hayes M, Kritek P Am J Respir Crit Care Med. 2021; 203(9):1088-1098.

PMID: 33734938 PMC: 8314915. DOI: 10.1164/rccm.202102-0336UP.

References

Brower R, Matthay M, Morris A, Schoenfeld D, Thompson B, Wheeler A . 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(18):1301-8. DOI: 10.1056/NEJM200005043421801. View

Marini J . Evolving concepts for safer ventilation. Crit Care. 2019; 23(Suppl 1):114. PMC: 6570627. DOI: 10.1186/s13054-019-2406-9. View

Yonis H, Mortaza S, Baboi L, Mercat A, Guerin C . Expiratory Flow Limitation Assessment in Patients with Acute Respiratory Distress Syndrome. A Reappraisal. Am J Respir Crit Care Med. 2018; 198(1):131-134. DOI: 10.1164/rccm.201711-2326LE. View

Fernandez R, Mancebo J, Blanch L, Benito S, Calaf N, Net A . Intrinsic PEEP on static pressure-volume curves. Intensive Care Med. 1990; 16(4):233-6. DOI: 10.1007/BF01705157. View

Brochard L . Intrinsic (or auto-) PEEP during controlled mechanical ventilation. Intensive Care Med. 2002; 28(10):1376-8. DOI: 10.1007/s00134-002-1438-8. View

Volta C, Dalla Corte F, Ragazzi R, Marangoni E, Fogagnolo A, Scaramuzzo G . Expiratory flow limitation in intensive care: prevalence and risk factors. Crit Care. 2019; 23(1):395. PMC: 6896682. DOI: 10.1186/s13054-019-2682-4. View

Junhasavasdikul D, Telias I, Grieco D, Chen L, Gutierrez C, Piraino T . Expiratory Flow Limitation During Mechanical Ventilation. Chest. 2018; 154(4):948-962. DOI: 10.1016/j.chest.2018.01.046. View

Pellegrini M, Gudmundsson M, Bencze R, Segelsjo M, Freden F, Rylander C . Expiratory Resistances Prevent Expiratory Diaphragm Contraction, Flow Limitation, and Lung Collapse. Am J Respir Crit Care Med. 2020; 201(10):1218-1229. DOI: 10.1164/rccm.201909-1690OC. View

Knelson J, HOWATT W, DEMUTH G . Effect of respiratory pattern on alveolar gas exchange. J Appl Physiol. 1970; 29(3):328-31. DOI: 10.1152/jappl.1970.29.3.328. View

10.

Nucci G, Suki B, Lutchen K . Modeling airflow-related shear stress during heterogeneous constriction and mechanical ventilation. J Appl Physiol (1985). 2003; 95(1):348-56. DOI: 10.1152/japplphysiol.01179.2001. View

11.

Spadaro S, Caramori G, Rizzuto C, Mojoli F, Zani G, Ragazzi R . Expiratory Flow Limitation as a Risk Factor for Pulmonary Complications After Major Abdominal Surgery. Anesth Analg. 2016; 124(2):524-530. DOI: 10.1213/ANE.0000000000001424. View

12.

Pellegrini M, Hedenstierna G, Roneus A, Segelsjo M, Larsson A, Perchiazzi G . The Diaphragm Acts as a Brake during Expiration to Prevent Lung Collapse. Am J Respir Crit Care Med. 2016; 195(12):1608-1616. DOI: 10.1164/rccm.201605-0992OC. View

13.

Chen L, Del Sorbo L, Grieco D, Shklar O, Junhasavasdikul D, Telias I . Airway Closure in Acute Respiratory Distress Syndrome: An Underestimated and Misinterpreted Phenomenon. Am J Respir Crit Care Med. 2017; 197(1):132-136. DOI: 10.1164/rccm.201702-0388LE. View

14.

Koutsoukou A, Armaganidis A, Vassilakopoulos T, Lymberis A, Roussos C, Milic-Emili J . Expiratory flow limitation and intrinsic positive end-expiratory pressure at zero positive end-expiratory pressure in patients with adult respiratory distress syndrome. Am J Respir Crit Care Med. 2000; 161(5):1590-6. DOI: 10.1164/ajrccm.161.5.9904109. View

15.

DAngelo E, Calderini E, Torri G, Robatto F, Bono D, Milic-Emili J . Respiratory mechanics in anesthetized paralyzed humans: effects of flow, volume, and time. J Appl Physiol (1985). 1989; 67(6):2556-64. DOI: 10.1152/jappl.1989.67.6.2556. View