Abstract
Mechanical ventilation generally exerts negative hemodynamic effects in patients with normal cardiac function mainly because of the reduction in venous return induced by positive intrathoracic pressure at each insufflation [1]. By contrast, positive pressure ventilation exerts beneficial effects in patients with cardiogenic pulmonary edema such that it is routinely used as a therapy in this category of patients [2, 3]. Conversely, cardiac consequences of spontaneous breathing may be responsible for weaning failure in patients with left heart disease, even though the mechanical ventilation was required for respiratory failure of non-cardiac origin. Since its first description more than twenty years ago [4], cardiogenic pulmonary edema has been recognized as a frequent cause of weaning failure in patients with underlying left cardiac dysfunction.
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Teboul, J.L., Monnet, X., Richard, C. (2010). Weaning Failure of Cardiac Origin: Recent Advances. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 2010. Yearbook of Intensive Care and Emergency Medicine, vol 2010. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-10286-8_17
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DOI: https://doi.org/10.1007/978-3-642-10286-8_17
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