Review ArticleInvited Review

Rationale and Description of Right Ventricle-Protective Ventilation in ARDS

Alexis Paternot, Xavier Repessé and Antoine Vieillard-Baron
Respiratory Care October 2016, 61 (10) 1391-1396; DOI: https://doi.org/10.4187/respcare.04943

References

  1. 1.↵
    1. Ashbaugh DG,
    2. Bigelow DB,
    3. Petty TL,
    4. Levine BE
    . Acute respiratory distress in adults. Lancet 1967;2(7511):319–323.
    OpenUrlCrossRefPubMedWeb of Science
  2. 2.↵
    1. Amato MB,
    2. Barbas CS,
    3. Medeiros DM,
    4. Magaldi RB,
    5. Schettino GP,
    6. Lorenzi-Filho G,
    7. et al
    . Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998;338(6):347–354.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.↵
    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. N Engl J Med 2000;342(18):1301–1308.
    OpenUrlCrossRefPubMedWeb of Science
  4. 4.↵
    1. Papazian L,
    2. Forel JM,
    3. Gacouin A,
    4. Penot-Ragon C,
    5. Perrin G,
    6. Loundou A,
    7. et al
    . Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 2010;363(12):1107–1116.
    OpenUrlCrossRefPubMedWeb of Science
  5. 5.↵
    1. Guérin C,
    2. Reignier J,
    3. Richard JC,
    4. Beuret P,
    5. Gacouin A,
    6. Boulain T,
    7. et al
    . Prone positioning in severe acute respiratory distress syndrome. N Engl J Med 2013;368(23):2159–2168.
    OpenUrlCrossRefPubMedWeb of Science
  6. 6.↵
    1. Brun-Buisson C,
    2. Minelli C,
    3. Bertolini G,
    4. Brazzi L,
    5. Pimentel J,
    6. Lewandowski K,
    7. et al
    . Epidemiology and outcome of acute lung injury in European intensive care units. Intensive Care Med 2004;30(1):51–61.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.↵
    1. Vieillard-Baron A,
    2. Matthay M,
    3. Teboul JL,
    4. Bein T,
    5. Schultz M,
    6. Magder S,
    7. Marini JJ
    . Experts' opinion on management of hemodynamics in ARDS patients: focus on the effects of mechanical ventilation. Intensive Care Med 2016;42(5):739–749.
    OpenUrlPubMed
  8. 8.↵
    1. McGinn S,
    2. White PD
    . Acute cor pulmonale resulting from pulmonary embolism. JAMA 1935;104(17):1473–1480.
    OpenUrlCrossRef
  9. 9.↵
    1. Zapol WM,
    2. Snider MT
    . Pulmonary hypertension in severe acute respiratory failure. N Engl J Med 1977;296(9):476–480.
    OpenUrlCrossRefPubMedWeb of Science
  10. 10.↵
    1. Jardin F,
    2. Gueret P,
    3. Dubourg O,
    4. Farcot JC,
    5. Margairaz A,
    6. Bourdarias JP
    . Right ventricular volumes by thermodilution in the adult respiratory distress syndrome: a comparative study using two-dimensional echocardiography as a reference method. Chest 1985;88(1):34–39.
    OpenUrlCrossRefPubMedWeb of Science
  11. 11.↵
    1. Cournand A,
    2. Motley HL
    . Physiological studies of the effects of intermittent positive pressure breathing on cardiac output in man. Am J Physiol 1948;152(1):162–174.
    OpenUrlWeb of Science
  12. 12.↵
    1. Ferguson ND,
    2. Fan E,
    3. Camporota L,
    4. Antonelli M,
    5. Anzueto A,
    6. Beale R,
    7. et al
    . The Berlin definition of ARDS: an expanded rationale, justification, and supplementary material. Intensive Care Med 2012;38(10):1573–1582.
    OpenUrlCrossRefPubMedWeb of Science
  13. 13.↵
    1. Moloney ED,
    2. Evans TW
    . Pathophysiology and pharmacological treatment of pulmonary hypertension in acute respiratory distress syndrome. Eur Respir J 2003;21(4):720–727.
    OpenUrlAbstract/FREE Full Text
  14. 14.↵
    1. Price LC,
    2. McAuley DF,
    3. Marino PS,
    4. Finney SJ,
    5. Griffiths MJ,
    6. Wort SJ
    . Pathophysiology of pulmonary hypertension in acute lung injury. Am J Physiol Lung Cell Mol Physiol 2012;302(9):L803–L815.
    OpenUrlAbstract/FREE Full Text
  15. 15.↵
    1. Zapol WM,
    2. Kobayashi K,
    3. Snider MT,
    4. Greene R,
    5. Laver MB
    . Vascular obstruction causes pulmonary hypertension in severe acute respiratory failure. Chest 1977;71(2 suppl):306–307.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Ricard JD,
    2. Dreyfuss D,
    3. Saumon G
    . Ventilator-induced lung injury. Eur Respir J Suppl 2003;42:2s–9s.
    OpenUrl
  17. 17.↵
    1. West JB,
    2. Dollery CT,
    3. Naimark A
    . Distribution of blood flow in isolated lung; relation to vascular and alveolar pressures. J Appl Physiol 1964;19:713–724.
    OpenUrlAbstract/FREE Full Text
  18. 18.↵
    1. Whittenberger JL,
    2. McGregor M,
    3. Berglund E,
    4. Borst HG
    . Influence of state of inflation of the lung on pulmonary vascular resistance. J Appl Physiol 1960;15:878–882.
    OpenUrlAbstract/FREE Full Text
  19. 19.↵
    1. Vieillard-Baron A,
    2. Loubieres Y,
    3. Schmitt JM,
    4. Page B,
    5. Dubourg O,
    6. Jardin F
    . Cyclic changes in right ventricular output impedance during mechanical ventilation. J Appl Physiol 1999;87(5):1644–1650.
    OpenUrlAbstract/FREE Full Text
  20. 20.↵
    1. Talmor D,
    2. Sarge T,
    3. Malhotra A,
    4. O'Donnell CR,
    5. Ritz R,
    6. Lisbon A,
    7. et al
    . Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008;359(20):2095–2104.
    OpenUrlCrossRefPubMedWeb of Science
  21. 21.↵
    1. Jardin F,
    2. Vieillard-Baron A
    . Is there a safe plateau pressure in ARDS? The right heart only knows. Intensive Care Med 2007;33(3):444–447.
    OpenUrlCrossRefPubMedWeb of Science
  22. 22.↵
    1. Chiumello D,
    2. Carlesso E,
    3. Cadringher P,
    4. Caironi P,
    5. Valenza F,
    6. Polli F,
    7. et al
    . Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 2008;178(4):346–355.
    OpenUrlCrossRefPubMedWeb of Science
  23. 23.↵
    1. Gattinoni L,
    2. Chiumello D,
    3. Carlesso E,
    4. Valenza F
    . Bench-to-bedside review: chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care 2004;8(5):350–355.
    OpenUrlCrossRefPubMedWeb of Science
  24. 24.↵
    1. Amato MBP,
    2. Meade MO,
    3. Slutsky AS,
    4. Brochard L,
    5. Costa ELV,
    6. Schoenfeld DA,
    7. et al
    . Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 2015;372(8):747–755.
    OpenUrlCrossRefPubMed
  25. 25.↵
    1. Bellani G,
    2. Laffey JG,
    3. Pham T,
    4. Fan E,
    5. Brochard L,
    6. Esteban A,
    7. et al
    . Epidemiology, patterns of care, and mortality for patients with acute respiratory distress syndrome in intensive care units in 50 countries. JAMA 2016;315(8):788–800.
    OpenUrlCrossRefPubMed
  26. 26.↵
    1. Boissier F,
    2. Katsahian S,
    3. Razazi K,
    4. Thille AW,
    5. Roche-Campo F,
    6. Leon R,
    7. et al
    . Prevalence and prognosis of cor pulmonale during protective ventilation for acute respiratory distress syndrome. Intensive Care Med 2013;39(10):1725–1733.
    OpenUrlCrossRefPubMed
  27. 27.↵
    1. Niden AH
    . The acute effects of atelectasis on the pulmonary circulation. J Clin Invest 1964;43:810–824.
    OpenUrlPubMed
  28. 28.↵
    1. Puybasset L,
    2. Cluzel P,
    3. Gusman P,
    4. Grenier P,
    5. Preteux F,
    6. Rouby JJ
    . Regional distribution of gas and tissue in acute respiratory distress syndrome. I. Consequences for lung morphology: CT Scan ARDS Study Group. Intensive Care Med 2000;26(7):857–869.
    OpenUrlCrossRefPubMedWeb of Science
  29. 29.↵
    1. Puybasset L,
    2. Gusman P,
    3. Muller JC,
    4. Cluzel P,
    5. Coriat P,
    6. Rouby JJ
    . Regional distribution of gas and tissue in acute respiratory distress syndrome. III. Consequences for the effects of positive end-expiratory pressure: CT Scan ARDS Study Group: Adult Respiratory Distress Syndrome. Intensive Care Med 2000;26(9):1215–1227.
    OpenUrlCrossRefPubMedWeb of Science
  30. 30.↵
    1. Schmitt JM,
    2. Vieillard-Baron A,
    3. Augarde R,
    4. Prin S,
    5. Page B,
    6. Jardin F
    . Positive end-expiratory pressure titration in acute respiratory distress syndrome patients: impact on right ventricular outflow impedance evaluated by pulmonary artery Doppler flow velocity measurements. Crit Care Med 2001;29(6):1154–1158.
    OpenUrlCrossRefPubMedWeb of Science
  31. 31.↵
    1. Kiely DG,
    2. Cargill RI,
    3. Lipworth BJ
    . Effects of hypercapnia on hemodynamic, inotropic, lusitropic, and electrophysiologic indices in humans. Chest 1996;109(5):1215–1221.
    OpenUrlCrossRefPubMedWeb of Science
  32. 32.↵
    1. Nuckton TJ,
    2. Alonso JA,
    3. Kallet RH,
    4. Daniel BM,
    5. Pittet JF,
    6. Eisner MD,
    7. Matthay MA
    . Pulmonary dead-space fraction as a risk factor for death in the acute respiratory distress syndrome. N Engl J Med 2002;346(17):1281–1286.
    OpenUrlCrossRefPubMedWeb of Science
  33. 33.↵
    1. Mekontso Dessap A,
    2. Charron C,
    3. Devaquet J,
    4. Aboab J,
    5. Jardin F,
    6. Brochard L,
    7. Vieillard-Baron A
    . Impact of acute hypercapnia and augmented positive end-expiratory pressure on right ventricle function in severe acute respiratory distress syndrome. Intensive Care Med 2009;35(11):1850–1858.
    OpenUrlCrossRefPubMedWeb of Science
  34. 34.↵
    1. Mekontso Dessap A,
    2. Boissier F,
    3. Charron C,
    4. Bégot E,
    5. Repessé X,
    6. Legras A,
    7. et al
    . Acute cor pulmonale during protective ventilation for acute respiratory distress syndrome: prevalence, predictors, and clinical impact. Intensive Care Med 2016;42(5):862–870.
    OpenUrlPubMed
  35. 35.↵
    1. Lhéritier G,
    2. Legras A,
    3. Caille A,
    4. Lherm T,
    5. Mathonnet A,
    6. Frat JP,
    7. et al
    . Prevalence and prognostic value of acute cor pulmonale and patent foramen ovale in ventilated patients with early acute respiratory distress syndrome: a multicenter study. Intensive Care Med 2013;39(10):1734–1742.
    OpenUrlCrossRefPubMed
  36. 36.↵
    1. Jardin F,
    2. Dubourg O,
    3. Bourdarias JP
    . Echocardiographic pattern of acute cor pulmonale. Chest 1997;111(1):209–217.
    OpenUrlCrossRefPubMedWeb of Science
  37. 37.↵
    1. Vieillard-Baron A,
    2. Schmitt JM,
    3. Augarde R,
    4. Fellahi JL,
    5. Prin S,
    6. Page B,
    7. et al
    . Acute cor pulmonale in acute respiratory distress syndrome submitted to protective ventilation: incidence, clinical implications, and prognosis. Crit Care Med 2001;29(8):1551–1555.
    OpenUrlCrossRefPubMedWeb of Science
  38. 38.↵
    1. Vieillard-Baron A,
    2. Prin S,
    3. Chergui K,
    4. Dubourg O,
    5. Jardin F
    . Echo-Doppler demonstration of acute cor pulmonale at the bedside in the medical intensive care unit. Am J Respir Crit Care Med 2002;166(10):1310–1319.
    OpenUrlCrossRefPubMedWeb of Science
  39. 39.↵
    1. Osman D,
    2. Monnet X,
    3. Castelain V,
    4. Anguel N,
    5. Warszawski J,
    6. Teboul JL,
    7. et al
    . Incidence and prognostic value of right ventricular failure in acute respiratory distress syndrome. Intensive Care Med 2009;35(1):69–76.
    OpenUrlCrossRefPubMedWeb of Science
  40. 40.↵
    1. Bull TM,
    2. Clark B,
    3. McFann K,
    4. Moss M
    . Pulmonary vascular dysfunction is associated with poor outcomes in patients with acute lung injury. Am J Respir Crit Care Med 2010;182(9):1123–1128.
    OpenUrlCrossRefPubMedWeb of Science
  41. 41.↵
    1. Vieillard-Baron A,
    2. Price LC,
    3. Matthay MA
    . Acute cor pulmonale in ARDS. Intensive Care Med 2013;39(10):1836–1838.
    OpenUrlCrossRefPubMed
  42. 42.↵
    1. Suter PM,
    2. Fairley B,
    3. Isenberg MD
    . Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 1975;292(6):284–289.
    OpenUrlCrossRefPubMedWeb of Science
  43. 43.↵
    1. Bidani A,
    2. Tzouanakis AE,
    3. Cardenas VJ Jr.,
    4. Zwischenberger JB
    . Permissive hypercapnia in acute respiratory failure. JAMA 1994;272(12):957–962.
    OpenUrlCrossRefPubMedWeb of Science
  44. 44.↵
    1. Vieillard-Baron A,
    2. Prin S,
    3. Augarde R,
    4. Desfonds P,
    5. Page B,
    6. Beauchet A,
    7. Jardin F
    . Increasing respiratory rate to improve CO2 clearance during mechanical ventilation is not a panacea in acute respiratory failure. Crit Care Med 2002;30(7):1407–1412.
    OpenUrlCrossRefPubMedWeb of Science
  45. 45.↵
    1. Prin S,
    2. Chergui K,
    3. Augarde R,
    4. Page B,
    5. Jardin F,
    6. Vieillard-Baron A
    . Ability and safety of a heated humidifier to control hypercapnic acidosis in severe ARDS. Intensive Care Med 2002;28(12):1756–1760.
    OpenUrlCrossRefPubMedWeb of Science
  46. 46.↵
    1. Galiatsou E,
    2. Kostanti E,
    3. Svarna E,
    4. Kitsakos A,
    5. Koulouras V,
    6. Efremidis SC,
    7. Nakos G
    . Prone position augments recruitment and prevents alveolar overinflation in acute lung injury. Am J Respir Crit Care Med 2006;174(2):187–197.
    OpenUrlCrossRefPubMedWeb of Science
  47. 47.↵
    1. Albert RK,
    2. Keniston A,
    3. Baboi L,
    4. Ayzac L,
    5. Guérin C
    . Prone position–induced improvement in gas exchange does not predict improved survival in the acute respiratory distress syndrome. Am J Respir Crit Care Med 2014;189(4):494–496.
    OpenUrlCrossRefPubMed
  48. 48.↵
    1. Broccard AF,
    2. Shapiro RS,
    3. Schmitz LL,
    4. Ravenscraft SA,
    5. Marini JJ
    . Influence of prone position on the extent and distribution of lung injury in a high tidal volume oleic acid model of acute respiratory distress syndrome. Crit Care Med 1997;25(1):16–27.
    OpenUrlCrossRefPubMedWeb of Science
  49. 49.↵
    1. Bianchi AMA,
    2. Reboredo MM,
    3. Lucinda LMF,
    4. Reis FF,
    5. Silva MVA,
    6. Rabelo MAE,
    7. et al
    . The effects of prone position ventilation on experimental mild acute lung injury induced by intraperitoneal lipopolysaccharide injection in rats. Lung 2016;194(2):193–199.
    OpenUrlPubMed
  50. 50.↵
    1. Jozwiak M,
    2. Teboul JL,
    3. Anguel N,
    4. Persichini R,
    5. Silva S,
    6. Chemla D,
    7. et al
    . Beneficial hemodynamic effects of prone positioning in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2013;188(12):1428–1433.
    OpenUrlCrossRefPubMed
  51. 51.↵
    1. Vieillard-Baron A,
    2. Charron C,
    3. Caille V,
    4. Belliard G,
    5. Page B,
    6. Jardin F
    . Prone positioning unloads the right ventricle in severe ARDS. Chest 2007;132(5):1440–1446.
    OpenUrlCrossRefPubMedWeb of Science
  52. 52.↵
    1. Vieillard-Baron A,
    2. Rabiller A,
    3. Chergui K,
    4. Peyrouset O,
    5. Page B,
    6. Beauchet A,
    7. Jardin F,
    8. et al
    . Prone position improves mechanics and alveolar ventilation in acute respiratory distress syndrome. Intensive Care Med 2005;31(2):220–226.
    OpenUrlCrossRefPubMedWeb of Science
  53. 53.↵
    1. Morimont P,
    2. Guiot J,
    3. Desaive T,
    4. Tchana-Sato V,
    5. Janssen N,
    6. Cagnina A,
    7. et al
    . Veno-venous extracorporeal CO2 removal improves pulmonary hemodynamics in a porcine ARDS model. Acta Anaesthesiol Scand 2015;59(4):448–456.
    OpenUrlPubMed
  54. 54.↵
    1. Cherpanath TGV,
    2. Landburg PP,
    3. Lagrand WK,
    4. Schultz MJ,
    5. Juffermans NP
    . Effect of extracorporeal CO2 removal on right ventricular and hemodynamic parameters in a patient with acute respiratory distress syndrome. Perfusion 2015. doi: 10.1177/0267659115621783.
  55. 55.↵
    1. Vieira SR,
    2. Puybasset L,
    3. Richecoeur J,
    4. Lu Q,
    5. Cluzel P,
    6. Gusman PB,
    7. et al
    . A lung computed tomographic assessment of positive end-expiratory pressure-induced lung overdistension. Am J Respir Crit Care Med 1998;158(5):1571–1577.
    OpenUrlPubMedWeb of Science
  56. 56.↵
    1. Bouhemad B,
    2. Brisson H,
    3. Le-Guen M,
    4. Arbelot C,
    5. Lu Q,
    6. Rouby JJ
    . Bedside ultrasound assessment of positive end-expiratory pressure-induced lung recruitment. Am J Respir Crit Care Med 2011;183(3):341–347.
    OpenUrlCrossRefPubMedWeb of Science
  57. 57.↵
    1. Grasso S,
    2. Terragni P,
    3. Mascia L,
    4. Fanelli V,
    5. Quintel M,
    6. Herrmann P,
    7. et al
    . Airway pressure-time curve profile (stress index) detects tidal recruitment/hyperinflation in experimental acute lung injury. Crit Care Med 2004;32(4):1018–1027.
    OpenUrlCrossRefPubMedWeb of Science
  58. 58.↵
    1. Vieillard-Baron A,
    2. Slama M,
    3. Mayo P,
    4. Charron C,
    5. Amiel JB,
    6. Esterez C,
    7. et al
    . A pilot study on safety and clinical utility of a single-use 72-hour indwelling transesophageal echocardiography probe. Intensive Care Med 2013;39(4):629–635.
    OpenUrlCrossRefPubMedWeb of Science
  59. 59.
    1. Combes A
    . Extracorporeal membrane oxygenation for severe acute respiratory distress syndrome (EOLIA). ClinicalTrials.gov/ct/show/NCT01470703. Accessed June 21, 2016.
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