PMID: 2123150Dec 1, 1990Paper

Cardiorespiratory effects of pressure controlled ventilation in severe respiratory failure

Chest
E Abraham, G Yoshihara

Abstract

Cardiorespiratory values were measured in ten patients with severe respiratory failure on volume controlled and pressure controlled ventilation. Tidal volume, respirator rate, PEEP, auto-PEEP, inspiratory:expiratory ratio (1:2) and FIo2 were maintained at the same value for both ventilatory modalities. Changing from VCV to PCV was associated with significant improvements in PaO2, oxygen delivery, and tissue oxygen consumption. Peak inspiratory pressure fell. There were no significant changes in other cardiorespiratory values, such as arterial blood pressure, nor in ventilatory measurements, such as mean airway pressure, associated with the use of PCV. These results suggest that PCV may be a beneficial ventilatory modality in the treatment of severe respiratory failure since it results in improvement in arterial oxygenation, tissue oxygen delivery and utilization without any concomitant adverse effects on other hemodynamic or ventilatory factors.

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Citations

Aug 1, 1995·The Journal of Pediatrics·T E PaulsonB M Peterson
Apr 29, 1998·Journal of Critical Care·A AlvarezS Benito
Oct 2, 2001·Journal of Clinical Anesthesia·G NataliniA Bernardini
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Sep 1, 1993·Chest·P B BlanchN Camner
Nov 5, 2008·AACN Advanced Critical Care·Suzanne M Burns
Oct 22, 2011·Medicina intensiva·E CorregerL Blanch
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Mar 20, 2016·Journal of Clinical Monitoring and Computing·Tülay HoştenMine Solak
Mar 9, 2010·Current Problems in Surgery·Avihu Z GazitA Thomas Pezzella
Jan 19, 1999·Critical Care Clinics·F D Battistella
Sep 1, 1996·Clinics in Chest Medicine·A W McKibben, S A Ravenscraft
Sep 24, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Jia JiangYun Yue
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May 12, 2016·Journal of Veterinary Emergency and Critical Care·Denise T FantoniAline M Ambrósio
Sep 15, 2017·International Journal for Numerical Methods in Biomedical Engineering·Shuai RenXiaohua Douglas Zhang
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Oct 1, 1995·The Annals of Pharmacotherapy·S M Watling, J Yanos
Sep 29, 1998·Critical Care Medicine·M R Silver

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