Skip to main content

Cyclic changes in arterial pressure during mechanical ventilation

  • Chapter
  • First Online:
Applied Physiology in Intensive Care Medicine
  • 2480 Accesses

Abstract

For a given level of arterial distensibility, the amplitude of the arterial pulse is directly related to the left ventricular (LV) stroke volume. Thus, rapid changes in arterial pulse pressure, the difference between systolic and diastolic pressures, essentially reflect changes in LV stroke volume.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Denault A, Gasior T, Gorcsan J, Mandarino W, Deneault L, Pinsky M (1999) Determinants of aortic pressure variation during positive-pressure ventilation in man. Chest 116:178–186

    Article  Google Scholar 

  2. Jardin F, Farcot JC, Gueret P, Prost JF, Ozier Y, Bourdarias JP (1983) Cyclic changes in arterial pulse during respiratory support. Circulation 68:266–274

    PubMed  CAS  Google Scholar 

  3. Preisman S, Pfeiffer U, Liberman N, Perel A (1997) New monitors of intravascular volume: a comparison of arterial pressure waveform analysis and the intrathoracic blood volume. Intensive Care Med 23:651–657

    Article  PubMed  CAS  Google Scholar 

  4. Vieillard-Baron A, Loubières Y, Schmitt JM, Page B, Dubourg O, Jardin F(1999) Cyclic changes in right ventricular outflow impedance during mechanical ventilation. J Appl Physiol 87:1644–1650

    PubMed  CAS  Google Scholar 

  5. Versprille A (1990) The pulmonary circulation during mechanical ventilation. Acta Anaesthesiol Scand 34 (Suppl) 94:51–62

    Article  CAS  Google Scholar 

  6. Vieillard-Baron A, Chergui K, Augarde R, Prin S, Page B, Beauchet A, Jardin F (2003) Cyclic changes in arterial pulse during respiratory support revisited by Doppler echocardiography. Am J Respir Crit Care Med 168:671–676

    Article  PubMed  Google Scholar 

  7. Jardin F, Delorme G, Hardy A, Auvert B, Beauchet A, Bourdarias JP (1990) Reevaluation of hemodynamic consequences of positive pressure ventilation: emphasis on cyclic right ventricular afterloading by mechanical lung inflation. Anesthesiology 72:966–970

    Article  PubMed  CAS  Google Scholar 

  8. Michard F, Boussat S, Chemla D, Anguel N, Mercat A, Lecarpentier Y, Richard C, Pinsky M, Teboul JL (2000) Relation between respiratory changes in arterial pulse pressure and fluid responsiveness in septic patients with acute circulatory failure. Am J Respir Crit Care Med 162:134–138

    PubMed  CAS  Google Scholar 

  9. Vieillard-Baron A, Augarde R, Prin S, Page B, MD, Beauchet A, Jardin F (2001) Influence of superior vena caval zone conditions on cyclic changes in right ventricular outflow during respiratory support. Anesthesiology 95:1083–1088

    Article  PubMed  CAS  Google Scholar 

  10. Michard F, Chemla D, Richard C, Wysocki M, Pinsky M (1999) Clinical use of respiratory changes in arterial pulse pressure to monitor the hemodynamic effect of PEEP. Am J Respir Crit Care Med 159:935–939

    PubMed  CAS  Google Scholar 

  11. Vieillard-Baron A, Prin S, Chergui K, Dubourg O, Jardin F (2003) Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Respir Crit Care Med 168:1270–1276

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2009 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Jardin, F. (2009). Cyclic changes in arterial pressure during mechanical ventilation. In: Hedenstierna, G., Mancebo, J., Brochard, L., Pinsky, M. (eds) Applied Physiology in Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-01769-8_21

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-01769-8_21

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-01768-1

  • Online ISBN: 978-3-642-01769-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics