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Update 1991 pp 297–305Cite as

Acute Left Ventricular Dysfunction During Weaning from Mechanical Ventilation

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Part of the book series: Update in Intensive Care and Emergency Medicine ((UICM,volume 14))

Abstract

Mechanical ventilation (MV) is commonly required in patients with acute respiratory failure. The beneficial effects of MV on lung mechanics and pulmonary gas exchange have been extensively developed. During the least years, the potentially beneficial effect of MV on the cardiopulmonary balance in patients with congestive heart failure, has been emphasized. Positive pressure ventilation has been proposed to improve left ventricular (LV) function in patients with congestive heart failure, by an increase in intrathoracic pressure (ITP) [1, 2]. Yet, an increase in ITP may reduce cardiac output in normal humans by a decrease in the pressure gradient for systemic venous return [3, 5]. This preload-reducing effect of increased ITP has been shown to be the cause of decreased cardiac output during ventilation with pulmonary end-expiration pressure (PEEP) [6].

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Authors
  1. J. L. Teboul
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  2. C. Richard
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Editor information

Editors and Affiliations

  1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Route de Lennik 808, B-1070, Brussels, Belgium

    Jean Louis Vincent (Clinical Director) (Clinical Director)

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© 1991 Springer-Verlag Berlin, Heidelberg

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Teboul, J.L., Richard, C. (1991). Acute Left Ventricular Dysfunction During Weaning from Mechanical Ventilation. In: Vincent, J.L. (eds) Update 1991. Update in Intensive Care and Emergency Medicine, vol 14. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84423-2_34

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  • DOI: https://doi.org/10.1007/978-3-642-84423-2_34

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-53672-7

  • Online ISBN: 978-3-642-84423-2

  • eBook Packages: Springer Book Archive

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