Table of Contents Author Guidelines Submit a Manuscript
Critical Care Research and Practice
Volume 2012, Article ID 597932, 9 pages
http://dx.doi.org/10.1155/2012/597932
Review Article

Goal-Directed Mechanical Ventilation: Are We Aiming at the Right Goals? A Proposal for an Alternative Approach Aiming at Optimal Lung Compliance, Guided by Esophageal Pressure in Acute Respiratory Failure

1Intensive Care Unit, E. Wolfson Medical Center, Halohamim st 62, 58100 Holon, Israel
2Sackler Faculty of Medicine, University of Tel Aviv, 69978 Tel Aviv, Israel
3Intensive Care Unit, Hospital Morales Meseguer, Avenida Marqués de Los Velez s/n, 30500 Murcia, Spain

Received 30 June 2012; Revised 12 August 2012; Accepted 13 August 2012

Academic Editor: Mikhail Y. Kirov

Copyright © 2012 Arie Soroksky and Antonio Esquinas. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. J. Milic-Emili, J. Mead, J. M. Turner, and E. M. Glauser, “Improved technique for estimating pleural pressure from esophageal balloons,” Journal of Applied Physiology, vol. 19, pp. 207–211, 1964. View at Google Scholar · View at Scopus
  2. B. D. Higgs, P. K. Behrakis, D. R. Bevan, and J. Milic Emili, “Measurement of pleural pressure with esophageal balloon in anesthetized humans,” Anesthesiology, vol. 59, no. 4, pp. 340–343, 1983. View at Google Scholar · View at Scopus
  3. A. N. Hurewitz, U. Sidhu, E. H. Bergofsky, and A. D. Chanana, “How alterations in pleural pressure influence esophageal pressure,” Journal of Applied Physiology, vol. 56, no. 5, pp. 1162–1169, 1984. View at Google Scholar · View at Scopus
  4. M. E. B. Wohl, J. Turner, and J. Mead, “Static volume-pressure curves of dog lungs—in vivo and in vitro,” Journal of Applied Physiology, vol. 24, no. 3, pp. 348–354, 1968. View at Google Scholar · View at Scopus
  5. G. R. Washko, C. R. O'Donnell, and S. H. Loring, “Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects,” Journal of Applied Physiology, vol. 100, no. 3, pp. 753–758, 2006. View at Publisher · View at Google Scholar · View at Scopus
  6. J. Mead and E. A. Gaensler, “Esophageal and pleural pressures in man, upright and supine,” Journal of Applied Physiology, vol. 14, no. 1, pp. 81–83, 1959. View at Google Scholar · View at Scopus
  7. B. D. Higgs, P. K. Behrakis, D. R. Bevan, and J. Milic Emili, “Measurement of pleural pressure with esophageal balloon in anesthetized humans,” Anesthesiology, vol. 59, no. 4, pp. 340–343, 1983. View at Google Scholar · View at Scopus
  8. P. Pelosi, M. Goldner, A. McKibben et al., “Recruitment and derecruitment during acute respiratory failure: an experimental study,” American Journal of Respiratory and Critical Care Medicine, vol. 164, no. 1, pp. 122–130, 2001. View at Google Scholar · View at Scopus
  9. D. Talmor, T. Sarge, A. Malhotra et al., “Mechanical ventilation guided by esophageal pressure in acute lung injury,” The New England Journal of Medicine, vol. 359, no. 20, pp. 2095–2104, 2008. View at Publisher · View at Google Scholar · View at Scopus
  10. D. Talmor, T. Sarge, C. R. O'Donnell et al., “Esophageal and transpulmonary pressures in acute respiratory failure,” Critical Care Medicine, vol. 34, no. 5, pp. 1389–1394, 2006. View at Publisher · View at Google Scholar · View at Scopus
  11. C. G. Irvin, M. Sampson, L. Engel, and A. E. Grassino, “Effect of breathing pattern on esophageal pressure gradients in humans,” Journal of Applied Physiology, vol. 57, no. 1, pp. 168–175, 1984. View at Google Scholar · View at Scopus
  12. G. Dechman, J. Sato, and J. H. T. Bates, “Factors affecting the accuracy of esophageal balloon measurement of pleural pressure in dogs,” Journal of Applied Physiology, vol. 72, no. 1, pp. 383–388, 1992. View at Google Scholar · View at Scopus
  13. A. Baydur, P. K. Behrakis, W. A. Zin et al., “A simple method for assessing the validity of the esophageal balloon technique,” American Review of Respiratory Disease, vol. 126, no. 5, pp. 788–791, 1982. View at Google Scholar · View at Scopus
  14. M. A. Matthay, S. Bhattacharya, D. Gaver et al., “Ventilator-induced lung injury: in vivo and in vitro mechanisms,” American Journal of Physiology, vol. 283, no. 4, pp. L678–L682, 2002. View at Google Scholar · View at Scopus
  15. P. P. Terragni, G. L. Rosboch, A. Lisi, A. G. Viale, and V. M. Ranieri, “How respiratory system mechanics may help in minimising ventilator-induced lung injury in ARDS patients,” European Respiratory Journal Supplement, vol. 42, pp. 15s–21s, 2003. View at Google Scholar · View at Scopus
  16. T. Yoshida, A. Uchiyama, N. Matsuura, T. Mashimo, and Y. Fujino, “Spontaneous breathing during lung-protective ventilation in an experimental acute lung injury model: high transpulmonary pressure associated with strong spontaneous breathing effort may worsen lung injury,” Critical Care Medicine, vol. 40, no. 5, pp. 1578–1585, 2012. View at Google Scholar
  17. S. Grasso, P. Terragni, A. Birocco et al., “ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure,” Intensive Care Medicine, vol. 38, no. 3, pp. 395–403, 2012. View at Google Scholar
  18. C. L. Hodgson, D. V. Tuxen, A. R. Davies et al., “A randomised controlled trial of an open lung strategy with staircase recruitment, titrated PEEP and targeted low airway pressures in patients with acute respiratory distress syndrome,” Critical Care, vol. 15, no. 3, article R133, 2011. View at Publisher · View at Google Scholar · View at Scopus
  19. K. K. Chung, S. E. Wolf, E. M. Renz et al., “High-frequency percussive ventilation and low tidal volume ventilation in burns: a randomized controlled trial,” Critical Care Medicine, vol. 38, no. 10, pp. 1970–1977, 2010. View at Publisher · View at Google Scholar · View at Scopus
  20. A. Mekontso Dessap, C. Charron, J. Devaquet et al., “Impact of acute hypercapnia and augmented positive end-expiratory pressure on right ventricle function in severe acute respiratory distress syndrome,” Intensive Care Medicine, vol. 35, no. 11, pp. 1850–1858, 2009. View at Publisher · View at Google Scholar · View at Scopus
  21. M. Badet, F. Bayle, J. C. Richard, and C. Guérin, “Comparison of optimal positive end-expiratory pressure and recruitment maneuvers during lung-protective mechanical ventilation in patients with acute lung injury/acute respiratory distress syndrome,” Respiratory Care, vol. 54, no. 7, pp. 847–854, 2009. View at Google Scholar · View at Scopus
  22. A. Mercat, J. C. M. Richard, B. Vielle et al., “Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial,” Journal of the American Medical Association, vol. 299, no. 6, pp. 646–655, 2008. View at Publisher · View at Google Scholar · View at Scopus
  23. M. O. Meade, D. J. Cook, G. H. Guyatt et al., “Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial,” Journal of the American Medical Association, vol. 299, no. 6, pp. 637–645, 2008. View at Publisher · View at Google Scholar · View at Scopus
  24. E. K. Wolthuis, G. Choi, M. C. Dessing et al., “Mechanical ventilation with lower tidal volumes and positive end-expiratory pressure prevents pulmonary inflammation in patients without preexisting lung injury,” Anesthesiology, vol. 108, no. 1, pp. 46–54, 2008. View at Publisher · View at Google Scholar · View at Scopus
  25. J. Pachl, K. Roubík, P. Waldauf, M. Fric, and V. Zábrodský, “Normocapnic high-frequency oscillatory ventilation affects differently extrapulmonary and pulmonary forms of acute respiratory distress syndrome in adults,” Physiological Research, vol. 55, no. 1, pp. 15–24, 2006. View at Google Scholar · View at Scopus
  26. K. E. A. Burns, N. K. J. Adhikari, A. S. Slutsky et al., “Pressure and volume limited ventilation for the ventilatory management of patients with acute lung injury: a systematic review and meta-analysis,” PLoS ONE, vol. 6, no. 1, Article ID e14623, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. N. Petrucci and W. Iacovelli, “Lung protective ventilation strategy for the acute respiratory distress syndrome,” Cochrane Database of Systematic Reviews, vol. 18, no. 3, p. CD003844, 2007. View at Google Scholar · View at Scopus
  28. C. Putensen, N. Theuerkauf, J. Zinserling, H. Wrigge, and P. Pelosi, “Meta-analysis: ventilation strategies and outcomes of the acute respiratory distress syndrome and acute lung injury,” Annals of Internal Medicine, vol. 151, no. 8, pp. 566–576, 2009. View at Google Scholar · View at Scopus
  29. C. Hodgson, J. L. Keating, A. E. Holland et al., “Recruitment manoeuvres for adults with acute lung injury receiving mechanical ventilation,” Cochrane Database of Systematic Reviews, vol. 15, no. 2, p. CD006667, 2009. View at Google Scholar · View at Scopus
  30. The Acute Respiratory Distress Syndrome Network, “Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome,” The New England Journal of Medicine, vol. 342, no. 18, pp. 1301–1308, 2000. View at Publisher · View at Google Scholar · View at Scopus
  31. R. G. Brower, P. N. Lanken, N. MacIntyre et al., “Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome,” The New England Journal of Medicine, vol. 351, no. 4, pp. 327–336, 2004. View at Publisher · View at Google Scholar · View at Scopus
  32. M. O. Meade, D. J. Cook, G. H. Guyatt et al., “Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial,” Journal of the American Medical Association, vol. 299, no. 6, pp. 637–645, 2008. View at Publisher · View at Google Scholar · View at Scopus
  33. A. Mercat, J. C. M. Richard, B. Vielle et al., “Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial,” Journal of the American Medical Association, vol. 299, no. 6, pp. 646–655, 2008. View at Publisher · View at Google Scholar · View at Scopus
  34. M. Briel, M. Meade, A. Mercat et al., “Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: systematic review and meta-analysis,” Journal of the American Medical Association, vol. 303, no. 9, pp. 865–873, 2010. View at Publisher · View at Google Scholar · View at Scopus