Pulmonary venous admixture during mechanical ventilation with varying FIO2and PEEP
作者:
GRAZIANO CARLON,
WILLIAM HOWLAND,
ALAN TURNBULL,
ROBERTA KAHN,
期刊:
Critical Care Medicine
(OVID Available online 1980)
卷期:
Volume 8,
issue 11
页码: 616-619
ISSN:0090-3493
年代: 1980
出版商: OVID
数据来源: OVID
摘要:
Many authors have indicated that high FIO2(0.75–1.0) ventilation may increase pulmonary venous admixture. Reabsorption atelectasis is supposedly responsible for this adverse effect. The authors attempted to determine if increasing PEEP during high FIO2ventilation could eliminate the detrimental influence of the latter. In 17 patients in respiratory failure, hemodynamic and respiratory variables were measured during ventilation with FIO20.50, 0.75, and 1.0 and PEEP varying from −3 to +5 cm H2O from baseline.Before exposure to FIO2> 0.75, addition of PEEP resulted in a decrease of Qs/Qt from a mean of 26.6–21.9%. After exposure to FIO20.75–1.0, Qs/Qt remained at levels not different from baseline, even when PEEP 8 cm H2O above baseline was added.The authors conclude that ventilation with high FIO2is not useful in determining Qs/Qt, and may prevent the improvement in pulmonary venous admixture associated with PEEP therapy.
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