Abstract
Whatever the technique used for ventilatory support, positive pressure breathing (PPB) elevates intrathoracic pressure. Local circulations can be altered by different mechanisms acting all together or separately [1]. These mechanisms consist in:
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1.
a reduction in systemic arterial pressure (SAP);
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2.
an impairment of local venous return and an increase in venous pressure;
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3.
an intrinsic or extrinsic modification of local vasoactive status.
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References
Payen DM, Beloucif S (1987) Circulatory effects of mechanical ventilation. In: Vincent JL, Suter PM (eds) Update in intensive care and emergency medicine, vol 2. Springer, Berlin Heidelberg New York Tokyo, pp 135–145
Auer LM, Loew F (eds) (1983) The cerebral veins. An experimental and clinical update. Springer, Berlin Heidelberg New York Tokyo, pp 3–38
Luce JM, Huseby JS, Kirk W, Butler J (1982) A Starling resistor regulates cerebral venous outflow in dogs. J Appl Physiol 53:1496–1503
Wagner EM, Traystman RJ (1983) Cerebral venous outflow and arterial microsphere flow with elevated venous pressure. Am J Physiol 244:H505–H512
Wei EP, Kontos HA (1982) Responses of cerebral arterioles to increased venous pressure. Am J Physiol 243:H442–H447
Doblar DD, Santiage TV, Kahn AU, Edelman NH (1981) The effect of positive end-expiratory pressure ventilation (PEEP) on cerebral blood flow and cerebrospinal fluid pressure in goats. Anesthesiology 55:244–250
Luce JM, Huseby JS, Kirk W, Butler J (1982) Mechanism by which end-expiratory pressure increases cerebrospinal fluid pressure in dogs. J Appl Physiol 52:231–235
Apuzzo MLJ, Weiss MN, Petersons 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
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© 1989 Springer-Verlag Berlin Heidelberg
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Payen, D.M., Lamer, C. (1989). Influence of Mechanical Ventilation on Brain Circulation and Function. In: Bihari, D., Holaday, J.W. (eds) Brain Failure. Update in Intensive Care and Emergency Medicine, vol 9. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83929-0_14
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DOI: https://doi.org/10.1007/978-3-642-83929-0_14
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