Abstract
All techniques used for positive pressure breathing — intermittent positive pressure ventilation (IPPV), continuous positive pressure ventilation (CPPV), continuous positive airway pressure (CPAP) or high frequency ventilation (HFV) [1] — result in an increase in intrathoracic pressure (Pinth) [2]. As mentioned in other chapters, Pinth elevation can decrease cardiac output (CO) and/or systemic arterial pressure (SAP) [3]. The magnitude of these hemodynamic changes is largely dependent on the pulmonary compliance, the level of Pinth increase, the underlying disease and the integrity of the cardiovascular reflexes.
Keywords
- Continuous Positive Airway Pressure
- Myocardial Blood Flow
- Coronary Blood Flow
- Systemic Arterial Pressure
- Portal Blood Flow
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
This work was supported in part by an institutional grant program of Faculté PARIS VII and UER of Medecine Lariboisière — St Louis, and Fédération Française de Cardiologie.
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References
Chang HK, Harf A (1984) High frequency ventilation: a review. Resp Physiol 57:135–152
Dorinsky PM, Whitcomb ME (1983) The effect of PEEP on cardiac output. Chest 84:210- 216
Luce JM (1984) The cardiovascular effects of mechanical ventilation and positive end-expiratory pressure. JAMA 252:807–811
Strangaard S (1976) Autoregulation of cerebral blood flow in hypertensive patiens. Stroke 53:720–727
Milnor WR (1982) In: Milnor WR (ed) Hemodynamics. Williams & Wilkins, Baltimore London, pp 25–29
Wagner EH, Traytsman RJ (1983) Cerebral venous outflow and arterial microsphere flow with elevated venous pressure. Am J Physiol 138:H 505-H 512
Luce JM, Huseby JS, Kirk W, Butler J (1982) A starling resistor regulates venous outflow in dogs. J Appl Physiol 53:1496–1503
Huseby JS, Luce JM, Cary JM, Paulin EG, Butler J (1981) Effects of positive end-expira- tory pressure on intracranial pressure in dogs with intracranial hypertension. J Neurosurg 55:704–707
Apuzzo MLJ, Weiss MN, Pertersons V, Small RB, Kurze T, Heiden JS (1977) Effect of positive end-expiratory pressure ventilation on intracranial pressure in man. J Neurosurg 46:227–232
Payen DM, Levy BI, Menegalli DJ, Lajat Y, Levenson J A, Nicolas FM (1982) Evaluation of human hemispheric blood flow based on non invasive carotid blood flow measurements using the range gated Doppler technique. Stroke 13:382–398
Payen D, Levy B, Pinaud M (1983) Effects of PEEP on human phasic carotid hemodynamics. J of Cereb Blood Flow & Metabol 3, Suppl:634–635
Feigl EO (1983) Coronary physiology. Physiol Rev 63:1–205
Marcus ML (1983) The coronary circulation in health and disease. Marcus ML (ed), Mc Graw Hill
Bellamy RF (1978) Diastolic coronary artery pressure-flow relations in the dog. Circ Res 43:92–101
Lowenson HS, Khouri EM, Gregg DE, Pyle RL, Patterson RE (1976) Phasic right coronary artery blood flow in conscious dogs with normal and elevated right ventricular pressures. Circ Res 39:760–766
Robotham JL, Cherry D, Mitzner W, Rabson JL, Lixfeld W, Bromberger-Barnea B (1983) A re-evaluation of the hemodynamic consequences of intermittent positive pressure ventilation. Crit Care Med 11:783–793
Chilian WM, Marcus ML (1985) Effects of coronary and extravascular pressure on intra- myocardial and epicardial blood velocity. Am J Physiol 248:H170-H178
Venus B, Jacobs HK (1984) Alterations in regional myocardial blood flows during different levels of positive end-expiratory pressure. Crit Care Med 12:96–101
Payen D, Bousseau D, Laborde F et al (1986) Comparison of per-operative and post-operative phasic blood flow in aortocoronary venous bypass grafts by means of pulsed Echo Doppler with implantable microprobes. Circulation Suppl III, 74 (in press)
Bousseau D, Payen DM, Laborde F, Beloucif S, Echter E, Piwnica A (1985) Effects of PEEP on human post-operative coronary bypass graft flow. Anesthesiology 63: A 518
Payen D, Caraco JJ, Beloucif S, Bousseau D, Laborde F, Piwnica A (in press) Effects of positive pressure breathing on systolic and diastolic coronary bypass graft flow in humans. Anesthesiology
Brenner BM, Zatz R, Ichikawa I (1986) The Renal Circulation. In: Brenner BM, Rector FC (Eds) The kidney, WB Saunders Co, pp 93–123
Dibona GF (1982) The function of the renal nerves. Rev Physiol Biochem Pharmacol 94:76–181
Berry AJ (1981) Respiratory support and renal function. Anesthesiology 55:655–667
Hall SV, Johnson EE, Hedley-Whyte J (1974) Renal hemodynamic and function with continuous positive-pressure ventilation in dogs. Anesthesiology 41:452–461
Payen D, Farge D, Beloucif S, De la Coussaye JE, Chiron B, Wirquin V (in press) No involvement of ADH in acute antidiuresis during PEEP ventilation in humans. Anesthesiology
Fewell JE, Bond GC (1979) Renal denervation eliminates the renal response to continuous positive pressure ventilation. Proe Soc Exp Biol Med 161:574–578
Richardson PDI (1982) Physiological regulation of the hepatic circulation. Fed Proc 41:2111–2116
Gioia FR, Harris AP, Traystman RJ, Rogers MC (1986) Organ blood flow during high frequency ventilation of low and high airway pressure in dogs. Anesthesiology 65:50–55
Hugues RL, Mathie RT, Fitch W, Campbell D (1979) Liver blood flow and oxygen consumption during hypocapnia and IPPV in the greyhound. J Appl Physiol 47:290–295
Johnson EE, Hedley-Whyte J (1972) Continuous positive-pressure ventilation and portal blood flow in dogs with pulmonary edema. J Appl Physiol 33:385–389
Bredenberg CE, Paskanik A, Fromm D (1981) Portal hemodynamics in dogs during mechanical ventilation with positive end-expiratory pressure. Surgery 90:817–822
Bonnet F, Richard C, Glaser P, Lafay M, Guesde R (1982) Changes in hepatic flow induced by continuous positive pressure ventilation in critically ill patients. Crit Care Med 10:703- 705
Winso O, Biber B, Gustausson B, Holm C, Milsom I, Niemand D (1986) Portal blood flow in man during graded positive end-expiratory pressure ventilation. Intensive Care Med 12:80–85
Baile EM, Albert RK, Kirk W, et al (1984) Positive end-expiratory pressure decreases bronchial blood flow in the dog. J Appl Physiol 56:1289–1293
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Payen, D.M., Beloucif, S. (1987). Circulatory Effects of Mechanical Ventilation. In: Vincent, J.L., Suter, P.M. (eds) Cardiopulmonary Interactions in Acute Respiratory Failure. Update in Intensive Care and Emergency Medicine, vol 2. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83010-5_12
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DOI: https://doi.org/10.1007/978-3-642-83010-5_12
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