Hemodynamic consequences of auto-PEEP

Journal of Intensive Care Medicine
David Berlin

Abstract

Auto-positive end-expiratory pressure (PEEP) is a common but frequently unrecognized problem in critically ill patients. It has important physiologic consequences and can cause shock and cardiac arrest. Treatment consists of relieving expiratory airflow obstruction and reducing minute ventilation delivered by positive pressure ventilation. Sedation and fluid management are important adjunctive therapies. This analytic review discusses the prevalence, pathophysiology, and hemodynamic consequences of auto-PEEP and an approach to its treatment.

References

Jul 1, 1992·The American Review of Respiratory Disease·V NinaneA De Troyer
Nov 1, 1990·The Journal of Trauma·F A MooreC M Abernathy
Sep 1, 1989·Chest·M J Tobin, R F Lodato
Feb 12, 1981·The New England Journal of Medicine·F JardinJ P Bourdarias
Jan 24, 1980·The New England Journal of Medicine·F SkovbyS O Thier
Jun 1, 1995·Intensive Care Medicine·A RossiG Conti
Mar 1, 1995·British Journal of Anaesthesia·P S MylesE B Morgan
Mar 1, 1996·Critical Care Medicine·T E Stewart, A S Slutsky
Aug 29, 1996·The New England Journal of Medicine·S E Lapinsky, R S Leung
Jan 5, 1999·American Journal of Respiratory and Critical Care Medicine·J P KressG A Schmidt
Apr 24, 2001·American Journal of Respiratory and Critical Care Medicine·M J TobinF Laghi
Feb 14, 2002·Journal of Applied Physiology·Paul C M van den BergMichael R Pinsky
Aug 20, 2002·Intensive Care Medicine·Jean-Christophe RichardGuy Bonmarchand
Oct 10, 2002·Intensive Care Medicine·Laurent Brochard
Nov 8, 2002·American Journal of Respiratory and Critical Care Medicine·Antoine Vieillard-BaronFrancois Jardin
Aug 30, 2003·The European Respiratory Journal. Supplement·A Vieillard-Baron, F Jardin
Nov 18, 2003·Intensive Care Medicine·Alexandre MebazaaLars Algotsson
Apr 7, 2004·Circulation·Tom P AufderheideKeith G Lurie
Sep 18, 2004·Intensive Care Medicine·Antoine Vieillard-BaronFrançois Jardin
Feb 11, 2005·Intensive Care Medicine·Antoine Vieillard-BaronFrançois Jardin
Mar 9, 2005·Critical Care Medicine·Catherine Lee HoughLeonard D Hudson
Apr 19, 2005·Expert Opinion on Biological Therapy·G A Marsh, G A Tannock
Mar 23, 2006·Intensive Care Medicine·Mauro OddoClaude Perret
Feb 10, 2007·Resuscitation·John F O'Neill, Charles D Deakin
Sep 1, 2007·Current Opinion in Critical Care·Michael R Pinsky
Dec 11, 2007·Journal of the Royal Society of Medicine·Vedamurthy AdhiyamanRadha Sundaram
Jan 12, 2008·Chest·Lakshmi Durairaj, Gregory A Schmidt
Apr 9, 2009·Anesthesiology·Daniel De BackerJean-Louis Vincent

❮ Previous
Next ❯

Citations

Apr 17, 2015·Critical Care : the Official Journal of the Critical Care Forum·David A Berlin, Jan Bakker
Apr 14, 2016·Journal of Clinical Monitoring and Computing·Gaetano PerchiazziGöran Hedenstierna
May 9, 2019·Turkish Journal of Emergency Medicine·Başak Bayram, Emre Şancı
Mar 7, 2019·Case Reports in Critical Care·Niclas LundströmJohan Petersson

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.