Lung volumes, mechanics, and oxygenation during spontaneous positive-pressure ventilation: the advantage of CPAP over EPAP.

Abstract:

:To determine if continuous positive airway pressure (CPAP) or expiratory positive airway pressure (EPAP) is superior for achieving or maintaining effective lung volume in spontaneously breathing critically ill patients in acute respiratory failure, the authors measured functional residual capacity (FRC), airway and esophageal pressures, and arterial oxygen tensions when CPAP and EPAP were 5 and 10 cm H2O. Arterial oxygenation, FRC, and transpulmonary pressure at end-expiration were greatest when CPAP was 10 cm H2O. Lung compliance did not change. The authors conclude that CPAP at 10 cm H2O is the more effective technique, either because it allows relaxation of chest wall musculature on expiration, or because EPAP at 10 cm H2O increases chest wall muscle tone.

journal_name

Anesthesiology

journal_title

Anesthesiology

authors

Schlobohm RM,Falltrick RT,Quan SF,Katz JA

doi

10.1097/00000542-198110000-00013

subject

Has Abstract

pub_date

1981-10-01 00:00:00

pages

416-22

issue

4

eissn

0003-3022

issn

1528-1175

journal_volume

55

pub_type

杂志文章
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    abstract:BACKGROUND:The combining of epidural anesthesia with general anesthesia impairs central and peripheral thermoregulatory control and therefore is often accompanied by unintended intraoperative hypothermia. However, little is known about the cardiovascular response to hypothermia during combined epidural and general anes...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200104000-00023

    authors: Yoshida M,Shibata K,Itoh H,Yamamoto K

    更新日期:2001-04-01 00:00:00

  • Gestational differences in lidocaine toxicity in the fetal lamb.

    abstract::Effects of lidocaine on arterial pressure, heart rate and electrocortical activity were studied in nine fetal lambs at 0.77 to 0.92 gestation (116 to 138 days of gestation; term in sheep is 150 days). Lidocaine was administered into a fetal femoral vein either as a continuous infusion or as a bolus injection. Epilepti...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-197602000-00008

    authors: Teramo K,Benowitz N,Heymann MA,Rudolph AM

    更新日期:1976-02-01 00:00:00

  • Temperature dependence of the potency of volatile general anesthetics: implications for in vitro experiments.

    abstract:BACKGROUND:When performing experiments at room temperature with volatile general anesthetics and in vitro mammalian preparations (such as isolated neurons), the question arises as to which concentrations of anesthetics are "clinically relevant." Different choices can lead to different interpretations of the anesthetic ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199603000-00027

    authors: Franks NP,Lieb WR

    更新日期:1996-03-01 00:00:00

  • A comparative evaluation of the effects of multiple vasodilators on human internal mammary artery.

    abstract:BACKGROUND:Vasospasm of arterial grafts represents an unpredictable complication of coronary artery surgery and may compromise myocardial revascularization, and treatment is based on empirical therapy with nitroglycerin. Because of the potential for tolerance to nitroglycerin to occur, the authors studied different vas...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199806000-00030

    authors: Huraux C,Makita T,Montes F,Szlam F,Levy JH

    更新日期:1998-06-01 00:00:00

  • Automated echocardiographic analysis. Examination of serial intraoperative measurements.

    abstract:BACKGROUND:Although transesophageal echocardiography allows continuous intraoperative cardiac monitoring, the technique has been limited by the lack of a method for realtime, quantitative assessment of cardiac chamber size and systolic function. Automated border detection (ABD), based on an analysis of integrated backs...

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    doi:10.1097/00000542-199508000-00008

    authors: Perrino AC Jr,Luther MA,O'Connor TZ,Cohen IS

    更新日期:1995-08-01 00:00:00

  • Isoflurane Modulates Hippocampal Cornu Ammonis Pyramidal Neuron Excitability by Inhibition of Both Transient and Persistent Sodium Currents in Mice.

    abstract:BACKGROUND:Volatile anesthetics inhibit presynaptic voltage-gated sodium channels to reduce neurotransmitter release, but their effects on excitatory neuron excitability by sodium current inhibition are unclear. The authors hypothesized that inhibition of transient and persistent neuronal sodium currents by the volatil...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000002753

    authors: Zhao W,Zhang M,Liu J,Liang P,Wang R,Hemmings HC,Zhou C

    更新日期:2019-07-01 00:00:00

  • Lack of nonshivering thermogenesis in infants anesthetized with fentanyl and propofol.

    abstract:BACKGROUND:Sweating, vasoconstriction, and shivering have been observed during general anesthesia. Among these, vasoconstriction is especially important because-once triggered-it minimizes further hypothermia. Surprisingly, the core-temperature plateau associated with vasoconstriction appears to preserve core temperatu...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199704000-00006

    authors: Plattner O,Semsroth M,Sessler DI,Papousek A,Klasen C,Wagner O

    更新日期:1997-04-01 00:00:00

  • Dexamethasone Dose and Early Postoperative Recovery after Mastectomy: A Double-blind, Randomized Trial.

    abstract:BACKGROUND:Pain and nausea are the most common challenges in postoperative recovery after mastectomy. Preventive measures include multimodal analgesia with preoperative glucocorticoid. The aim of this study was to investigate whether 24 mg of preoperative dexamethasone was superior to 8 mg on early recovery after maste...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000003112

    authors: Steinthorsdottir KJ,Awada HN,Abildstrøm H,Kroman N,Kehlet H,Kvanner Aasvang E

    更新日期:2020-04-01 00:00:00

  • Nifedipine and intraoperative core body temperature in humans.

    abstract:BACKGROUND:Initial anesthetic-induced hypothermia results largely from core-to-peripheral redistribution of heat. Nifedipine administration may minimize hypothermia by inducing vasodilation well before induction of anesthesia. Although vasodilation would redistribute heat to peripheral tissues, thermoregulatory respons...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-199401000-00019

    authors: Vassilieff N,Rosencher N,Sessler DI,Conseiller C,Lienhart A

    更新日期:1994-01-01 00:00:00

  • Functional studies of RYR1 mutations in the skeletal muscle ryanodine receptor using human RYR1 complementary DNA.

    abstract:BACKGROUND:Malignant hyperthermia is associated with mutations within the gene encoding the skeletal muscle ryanodine receptor, the calcium channel that releases Ca from sarcoplasmic reticulum stores triggering muscle contraction, and other metabolic activities. More than 200 variants have been identified in the ryanod...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181d69283

    authors: Sato K,Pollock N,Stowell KM

    更新日期:2010-06-01 00:00:00

  • Systolic blood pressure variation is a sensitive indicator of hypovolemia in ventilated dogs subjected to graded hemorrhage.

    abstract::Systolic pressure variation (SPV) is defined as the difference between the maximum and minimum values of systolic blood pressure following a single positive pressure breath. An increase in the SPV is known to occur clinically during hypovolemia. This study aims to quantify SPV during graded hemorrhage in ventilated do...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-198710000-00009

    authors: Perel A,Pizov R,Cotev S

    更新日期:1987-10-01 00:00:00

  • Factor VII levels and international normalized ratios in the early phase of warfarin therapy.

    abstract:BACKGROUND:Factor VII is the most affected clotting factor during the early phase of warfarin therapy. An international normalized ratio (INR) of more than 1.4 is considered unsafe for epidural catheter placement or removal, according to the American Society of Regional Anesthesia and Pain Medicine. The authors tested ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e3181ca6cfc

    authors: Benzon HT,Avram MJ,Benzon HA,Kirby-Nolan M,Nader A

    更新日期:2010-02-01 00:00:00

  • Caudal epidural morphine for control of pain following open heart surgery in children.

    abstract::The safety and efficacy of epidural morphine injected into the caudal space for control of postoperative pain following open cardiac surgery in children was studied. Thirty-two children between the ages of 2-12 yr for whom early postoperative tracheal extubation was anticipated were randomly assigned to control and st...

    journal_title:Anesthesiology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00000542-198903000-00009

    authors: Rosen KR,Rosen DA

    更新日期:1989-03-01 00:00:00

  • Using process analysis to assess the impact of medical education on the delivery of pain services: a natural experiment.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0b013e31824a88d0

    authors: Williams KA,Chambers CG,Dada M,Hough D,Aron R,Ulatowski JA

    更新日期:2012-04-01 00:00:00

  • Spinal and systemic action of the alpha 2 receptor agonist dexmedetomidine in dogs. Antinociception and carbon dioxide response.

    abstract:BACKGROUND:alpha 2 Agonists are powerful analgesics after spinal delivery. The current work characterizes the dose-dependent antinociception and effects upon respiratory function of dexmedetomidine after intrathecal, epidural, intravenous, and intracisternal delivery in chronically prepared dogs. METHODS:Dogs were pre...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199405000-00015

    authors: Sabbe MB,Penning JP,Ozaki GT,Yaksh TL

    更新日期:1994-05-01 00:00:00

  • Effects of halothane on sarcoplasmic reticulum calcium release channels in porcine airway smooth muscle cells.

    abstract:BACKGROUND:Volatile anesthetics relax airway smooth muscle (ASM) by altering intracellular Ca2+ concentration ([Ca2+]i). The authors hypothesized that relaxation is produced by decreasing sarcoplasmic reticulum Ca2+ content via increased Ca2+ "leak" through both inositol trisphosphate (IP3) and ryanodine receptor chann...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200107000-00032

    authors: Pabelick CM,Prakash YS,Kannan MS,Warner DO,Sieck GC

    更新日期:2001-07-01 00:00:00

  • Volatile organic compounds during inflammation and sepsis in rats: a potential breath test using ion-mobility spectrometry.

    abstract:BACKGROUND:Multicapillary column ion-mobility spectrometry (MCC-IMS) may identify volatile components in exhaled gas. The authors therefore used MCC-IMS to evaluate exhaled gas in a rat model of sepsis, inflammation, and hemorrhagic shock. METHODS:Male Sprague-Dawley rats were anesthetized and ventilated via tracheost...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000000420

    authors: Fink T,Wolf A,Maurer F,Albrecht FW,Heim N,Wolf B,Hauschild AC,Bödeker B,Baumbach JI,Volk T,Sessler DI,Kreuer S

    更新日期:2015-01-01 00:00:00

  • Systemic antiinflammatory corticosteroid reduces mechanical pain behavior, sympathetic sprouting, and elevation of proinflammatory cytokines in a rat model of neuropathic pain.

    abstract:BACKGROUND:Chronic pain models are commonly defined as either nerve-injury or inflammation models, but recent work suggests inflammatory processes are important in nerve injury-induced pain. METHODS:In the rat spinal nerve ligation model, the authors examined effects of systemic corticosteroid triamcinolone acetonide ...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/01.anes.0000278907.37774.8d

    authors: Li H,Xie W,Strong JA,Zhang JM

    更新日期:2007-09-01 00:00:00

  • Volatile anesthetics differentially affect immunostimulated expression of inducible nitric oxide synthase: role of intracellular calcium.

    abstract:BACKGROUND:Nitric oxide released by inducible nitric oxide synthase (iNOS) plays an important role in immune responses and systemic vasodilation in septic shock. Volatile anesthetics have been reported to interfere with signal transduction and gene expression. We studied the effect of volatile anesthetics on activity a...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200004000-00028

    authors: Tschaikowsky K,Ritter J,Schröppel K,Kühn M

    更新日期:2000-04-01 00:00:00

  • A Random-allocation Graded Dose-Response Study of Norepinephrine and Phenylephrine for Treating Hypotension during Spinal Anesthesia for Cesarean Delivery.

    abstract:BACKGROUND:Norepinephrine has been investigated as a potential alterative to phenylephrine for maintaining blood pressure during spinal anesthesia for cesarean delivery with the advantage of less depression of maternal heart rate and cardiac output. However, the relative potencies of these two vasopressors have not bee...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0000000000001880

    authors: Ngan Kee WD

    更新日期:2017-12-01 00:00:00

  • Prospective external validation of a predictive score for postoperative pulmonary complications.

    abstract:BACKGROUND:No externally validated risk score for postoperative pulmonary complications (PPCs) is currently available. The authors tested the generalizability of the Assess Respiratory Risk in Surgical Patients in Catalonia risk score for PPCs in a large European cohort (Prospective Evaluation of a RIsk Score for posto...

    journal_title:Anesthesiology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/ALN.0000000000000334

    authors: Mazo V,Sabaté S,Canet J,Gallart L,de Abreu MG,Belda J,Langeron O,Hoeft A,Pelosi P

    更新日期:2014-08-01 00:00:00

  • Stereoselectivity of bupivacaine in local anesthetic-sensitive ion channels of peripheral nerve.

    abstract:BACKGROUND:The local anesthetic bupivacaine exists in two stereoisomeric forms, R(+)- and S(-)-bupivacaine. Because of its lower cardiac and central nervous system toxicity, attempts were made recently to introduce S(-)-bupivacaine into clinical anesthesia. We investigated stereoselective actions of R(+)-and S(-)-bupiv...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-199909000-00031

    authors: Nau C,Vogel W,Hempelmann G,Bräu ME

    更新日期:1999-09-01 00:00:00

  • Molecular mechanisms of opioid receptor-dependent signaling and behavior.

    abstract::Opioid receptors have been targeted for the treatment of pain and related disorders for thousands of years and remain the most widely used analgesics in the clinic. Mu (μ), kappa (κ), and delta (δ) opioid receptors represent the originally classified receptor subtypes, with opioid receptor like-1 (ORL1) being the leas...

    journal_title:Anesthesiology

    pub_type: 杂志文章,评审

    doi:10.1097/ALN.0b013e318238bba6

    authors: Al-Hasani R,Bruchas MR

    更新日期:2011-12-01 00:00:00

  • Buprenorphine enhances and prolongs the postoperative analgesic effect of bupivacaine in patients receiving infragluteal sciatic nerve block.

    abstract:BACKGROUND:Results from previous studies have shown favorable effects from the addition of buprenorphine to local anesthetics used for interscalene or axillary perivascular brachial plexus blocks. The main objective of the current study was to determine whether addition of buprenorphine could enhance bupivacaine analge...

    journal_title:Anesthesiology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/ALN.0b013e3181f90ce8

    authors: Candido KD,Hennes J,Gonzalez S,Mikat-Stevens M,Pinzur M,Vasic V,Knezevic NN

    更新日期:2010-12-01 00:00:00

  • Amitriptyline for prolonged cutaneous analgesia in the rat.

    abstract:BACKGROUND:Amitriptyline has been reported to be a more potent local anesthetic than bupivacaine. In keeping with the objective of identifying drugs for prolonged cutaneous analgesia, the authors compared the cutaneous analgesic effectiveness of amitriptyline and bupivacaine in rats. METHODS:Rats were subcutaneously i...

    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/00000542-200201000-00023

    authors: Khan MA,Gerner P,Kuo Wang G

    更新日期:2002-01-01 00:00:00

  • Isoflurane pretreatment inhibits cytokine-induced cell death in cultured rat smooth muscle cells and human endothelial cells.

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    doi:10.1097/00000542-200207000-00005

    authors: de Klaver MJ,Manning L,Palmer LA,Rich GF

    更新日期:2002-07-01 00:00:00

  • Oral Dimethyl Fumarate Reduces Peripheral Neuropathic Pain in Rodents via NFE2L2 Antioxidant Signaling.

    abstract:BACKGROUND:Available treatments for neuropathic pain have modest efficacy and significant adverse effects, including abuse potential. Because oxidative stress is a key mechanistic node for neuropathic pain, the authors focused on the master regulator of the antioxidant response-nuclear factor erythroid 2-related factor...

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  • Association between Neuraxial Labor Analgesia and Neonatal Morbidity after Operative Vaginal Delivery.

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    journal_title:Anesthesiology

    pub_type: 杂志文章

    doi:10.1097/ALN.0000000000003589

    authors: Butwick AJ,Wong CA,Lee HC,Blumenfeld YJ,Guo N

    更新日期:2021-01-01 00:00:00

  • Inhibitory effect of glucocorticoids on human-cloned 5-hydroxytryptamine3A receptor expressed in xenopus oocytes.

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    pub_type: 杂志文章

    doi:10.1097/00000542-200409000-00014

    authors: Suzuki T,Sugimoto M,Koyama H,Mashimo T,Uchida I

    更新日期:2004-09-01 00:00:00

  • Alpha(2A) adrenoceptors contribute to feedback inhibition of capsaicin-induced hyperalgesia.

    abstract:BACKGROUND:Studies on receptor knockout mice have so far shown that of the three alpha2-adrenoceptor subtypes, the alpha(2A) adrenoceptor has a major role in mediating the powerful central analgesia induced by synthetic alpha2-adrenoceptor agonists. However, because a knockout of the gene for the alpha(2A) adrenoceptor...

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    doi:10.1097/00000542-200407000-00029

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    更新日期:2004-07-01 00:00:00