Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care
In Part I of this review, we have covered basic concepts regarding cardiorespiratory interactions. Here, we put this theoretical framework to practical use. We describe mechanisms underlying Kussmaul’s sign and pulsus paradoxus. We review the literature on the use of respiratory variations of blood...
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| Veröffentlicht in: | Intensive care medicine 2009-02, Vol.35 (2), p.198-205 |
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| creator | Feihl, François Broccard, Alain F. |
| description | In Part I of this review, we have covered basic concepts regarding cardiorespiratory interactions. Here, we put this theoretical framework to practical use. We describe mechanisms underlying Kussmaul’s sign and pulsus paradoxus. We review the literature on the use of respiratory variations of blood pressure to evaluate volume status. We show the possibilities of attaining the latter aim by investigating with ultrasonography how the geometry of great veins fluctuates with respiration. We provide a Guytonian analysis of the effects of PEEP on cardiac output. We terminate with some remarks on the potential of positive pressure breathing to induce acute cor pulmonale, and on the cardiovascular mechanisms that at times may underly the failure to wean a patient from the ventilator. |
| doi_str_mv | 10.1007/s00134-008-1298-y |
| format | Article |
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Part II: practical implications in critical care</title><title>Intensive care medicine</title><addtitle>Intensive Care Med</addtitle><addtitle>Intensive Care Med</addtitle><description>In Part I of this review, we have covered basic concepts regarding cardiorespiratory interactions. Here, we put this theoretical framework to practical use. We describe mechanisms underlying Kussmaul’s sign and pulsus paradoxus. We review the literature on the use of respiratory variations of blood pressure to evaluate volume status. We show the possibilities of attaining the latter aim by investigating with ultrasonography how the geometry of great veins fluctuates with respiration. We provide a Guytonian analysis of the effects of PEEP on cardiac output. We terminate with some remarks on the potential of positive pressure breathing to induce acute cor pulmonale, and on the cardiovascular mechanisms that at times may underly the failure to wean a patient from the ventilator.</description><subject>Abdomen</subject><subject>Airway management</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthesiology</subject><subject>Asthma</subject><subject>Biological and medical sciences</subject><subject>Blood pressure</subject><subject>Blood Pressure - physiology</subject><subject>Cardiac function</subject><subject>Cardiac Output - physiology</subject><subject>Clinical death. Palliative care. Organ gift and preservation</subject><subject>Coronary Circulation - physiology</subject><subject>Critical Care</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Hemodynamics</subject><subject>Hemodynamics - physiology</subject><subject>Humans</subject><subject>Hypertension, Pulmonary - etiology</subject><subject>Intensive</subject><subject>Intensive care</subject><subject>Intensive care medicine</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Pain Medicine</subject><subject>Pediatrics</subject><subject>Pericarditis</subject><subject>Pneumology/Respiratory System</subject><subject>Positive-Pressure Respiration - methods</subject><subject>Pulmonary arteries</subject><subject>Pulmonary Heart Disease - complications</subject><subject>Pulmonary Heart Disease - therapy</subject><subject>Pulse</subject><subject>Respiration</subject><subject>Respiration, Artificial</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Respiratory Insufficiency - therapy</subject><subject>Review</subject><subject>Venous Pressure - physiology</subject><subject>Ventilators</subject><subject>Ventricular Dysfunction, Left - complications</subject><issn>0342-4642</issn><issn>1432-1238</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp1kU1v1DAQhi0EotuFH8AFWSC4pfgrtsMNVRRWqgQHOFsTZwKuEifYWaH8e7xkBQipJ489z7wznpeQZ5xdccbMm8wYl6pizFZcNLZaH5AdV1KUm7QPyY5JJSqllbgglznfFdromj8mF9xaUUutd2Q4xAUT-CVMMdMWl5-IkSbMc0hweqQQO5rXvOAYPP2O49StEUqcr-hnSAs9HN7S-beCh4GGcR5KsMmFSH0KW8JDwifkUQ9Dxqfnc0--3rz_cv2xuv304XD97rbyyrClEh5bMKplqgfNodWge-ANahCGybrnUnS89mhkbRB1xxXWiMbwxjTaMiH35PWmO6fpxxHz4saQPQ4DRJyO2WltG1NWV8AX_4F30zHFMpsTXAvJpFYFenkfVCaxTWPqssw94Rvl05Rzwt7NKYyQVseZO7nlNrdcccud3HJrqXl-Vj62I3Z_K872FODVGYBcltgniD7kP5zgXGhbn_4hNi6XVPyG6Z8R7-3-C0VKrPk</recordid><startdate>20090201</startdate><enddate>20090201</enddate><creator>Feihl, François</creator><creator>Broccard, Alain F.</creator><general>Springer-Verlag</general><general>Springer</general><general>Springer Nature B.V</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20090201</creationdate><title>Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care</title><author>Feihl, François ; Broccard, Alain F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c470t-2ceba74b04fa61ab6a6fa19e6a27035f132d15ce7357ee6d14e5ee77197968023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Abdomen</topic><topic>Airway management</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthesiology</topic><topic>Asthma</topic><topic>Biological and medical sciences</topic><topic>Blood pressure</topic><topic>Blood Pressure - physiology</topic><topic>Cardiac function</topic><topic>Cardiac Output - physiology</topic><topic>Clinical death. Palliative care. Organ gift and preservation</topic><topic>Coronary Circulation - physiology</topic><topic>Critical Care</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Hemodynamics</topic><topic>Hemodynamics - physiology</topic><topic>Humans</topic><topic>Hypertension, Pulmonary - etiology</topic><topic>Intensive</topic><topic>Intensive care</topic><topic>Intensive care medicine</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Pain Medicine</topic><topic>Pediatrics</topic><topic>Pericarditis</topic><topic>Pneumology/Respiratory System</topic><topic>Positive-Pressure Respiration - methods</topic><topic>Pulmonary arteries</topic><topic>Pulmonary Heart Disease - complications</topic><topic>Pulmonary Heart Disease - therapy</topic><topic>Pulse</topic><topic>Respiration</topic><topic>Respiration, Artificial</topic><topic>Respiratory Insufficiency - etiology</topic><topic>Respiratory Insufficiency - therapy</topic><topic>Review</topic><topic>Venous Pressure - physiology</topic><topic>Ventilators</topic><topic>Ventricular Dysfunction, Left - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feihl, François</creatorcontrib><creatorcontrib>Broccard, Alain F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Intensive care medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feihl, François</au><au>Broccard, Alain F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care</atitle><jtitle>Intensive care medicine</jtitle><stitle>Intensive Care Med</stitle><addtitle>Intensive Care Med</addtitle><date>2009-02-01</date><risdate>2009</risdate><volume>35</volume><issue>2</issue><spage>198</spage><epage>205</epage><pages>198-205</pages><issn>0342-4642</issn><eissn>1432-1238</eissn><coden>ICMED9</coden><abstract>In Part I of this review, we have covered basic concepts regarding cardiorespiratory interactions. Here, we put this theoretical framework to practical use. We describe mechanisms underlying Kussmaul’s sign and pulsus paradoxus. We review the literature on the use of respiratory variations of blood pressure to evaluate volume status. We show the possibilities of attaining the latter aim by investigating with ultrasonography how the geometry of great veins fluctuates with respiration. We provide a Guytonian analysis of the effects of PEEP on cardiac output. 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| subjects | Abdomen Airway management Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthesiology Asthma Biological and medical sciences Blood pressure Blood Pressure - physiology Cardiac function Cardiac Output - physiology Clinical death. Palliative care. Organ gift and preservation Coronary Circulation - physiology Critical Care Critical Care Medicine Emergency Medicine Hemodynamics Hemodynamics - physiology Humans Hypertension, Pulmonary - etiology Intensive Intensive care Intensive care medicine Medical sciences Medicine Medicine & Public Health Pain Medicine Pediatrics Pericarditis Pneumology/Respiratory System Positive-Pressure Respiration - methods Pulmonary arteries Pulmonary Heart Disease - complications Pulmonary Heart Disease - therapy Pulse Respiration Respiration, Artificial Respiratory Insufficiency - etiology Respiratory Insufficiency - therapy Review Venous Pressure - physiology Ventilators Ventricular Dysfunction, Left - complications |
| title | Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care |
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