Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care.

Détails

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Etat: Public
Version: Final published version
Licence: Non spécifiée
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ID Serval
serval:BIB_81C33E6C7417
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Synthèse (review): revue aussi complète que possible des connaissances sur un sujet, rédigée à partir de l'analyse exhaustive des travaux publiés.
Collection
Publications
Institution
Titre
Interactions between respiration and systemic hemodynamics. Part II: practical implications in critical care.
Périodique
Intensive Care Medicine
Auteur⸱e⸱s
Feihl F., Broccard A.F.
ISSN
1432-1238[electronic]
Statut éditorial
Publié
Date de publication
2009
Volume
35
Numéro
2
Pages
198-205
Langue
anglais
Notes
Publication types: Journal Article ; Review
Résumé
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.
Mots-clé
Blood Pressure/physiology, Cardiac Output/physiology, Coronary Circulation/physiology, Critical Care, Hemodynamics/physiology, Humans, Hypertension, Pulmonary/etiology, Positive-Pressure Respiration/methods, Pulmonary Heart Disease/complications, Pulmonary Heart Disease/therapy, Pulse, Respiration, Respiration, Artificial, Respiratory Insufficiency/etiology, Respiratory Insufficiency/therapy, Venous Pressure/physiology, Ventricular Dysfunction, Left/complications
Pubmed
Web of science
Open Access
Oui
Création de la notice
03/09/2009 8:43
Dernière modification de la notice
14/02/2022 8:55
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