Impact of mechanical ventilation on haemodynamic in neonate

Abstract

This review presents the main physiological principles of cardiorespiratory relationships during spontaneous respiration and in conditions of positive pressure ventilation. The characteristic of systemic and intrapulmonary hemodynamics is given. A systematic approach is presented to minimize the negative effects of positive pressure on the hemodynamic status of a newborn during mechanical ventilation.

Keywords:neonatal intensive care unit, respiratory care, hemodynamic, cardiopulmonary relationships, neonates

Funding. The study had no sponsor support.

Conflict of interests. The authors declare no conflict of interests.

For citation: Mezhinsky S.S., Karpova A.L., Mostovoy A.V., Shilova N.A., Kharlamova N.V. Impact of mechanical ventilation on haemodynamic in neonate. Neonatologiya: novosti, mneniya, obuchenie [Neonatology: News, Opinions, Training]. 2020; 8 (4): 43-51. DOI: https://doi.org/10.33029/2308-2402-2020-8-4-43-51 (in Russian)

References

1. Lasky T., Greenspan J., Ernst F.R., Gonzalez L. Dopamine and dobutamine use in preterm or low birth weight neonates in the premier 2008 database. Clin Ther. 2011; 33 (12): 2082–8. DOI: https://doi.org/10.1016/j.clinthera.2011.11.001

2. Lewis O. Stephen Hales and the measurement of blood pressure. J Hum Hypertens. 1994; 8 (12): 865–71.

3. Wise R.A., Robotham J.L., Summer W.R. Effects of spontaneous ventilation on the circulation [review]. Lung. 1981; 159: 175–86.

4. Pinsky M.R. Cardiopulmonary interactions: physiologic basis and clinical applications. Ann Am Thorac Soc. 2018; 15 (1): 45–8.

5. Hamzaoui O., Monnet X., Teboul J.L. Pulsus paradoxus. Eur Respir J. 2013; 42 (6): 1696–705. DOI: https://doi.org/10.1183/09031936.00138912

6. Pasipoularides A. Right and left ventricular diastolic pressurevolume relations: a comprehensive review. J Cardiovasc Transl Res. 2013; 6 (2): 239–52. DOI: https://doi.org/10.1007/s12265-012-9424-1

7. Principi T., Falzetti G., Elisei D., Donati A., Pelaia P. Behavior of B-type natriuretic peptide during mechanical ventilation and spontaneous breathing after extubation. Minerva Anestesiol. 2009; 75 (4): 179–83.

8. Suresh K., Shimoda L.A. Lung circulation. Compr Physiol. 2016; 6 (2): 897–943. DOI: https://doi.org/10.1002/cphy.c140049.

9. Hansmann G. Pulmonary hypertension in infants, children, and young adults. J Am Coll Cardiol. 2017; 69 (20): 2551–69. DOI: https://doi.org/10.1016/j.jacc.2017.03.575

10. Taylor R.R., Covell J.W., Sonnenblick E.H., Ross J. Jr. Dependence of ventricular distensibility on filling of the opposite ventricle. Am J Physiol. 1967; 213: 711-8.

11. Grdbler M.R., Wigger,O., Berger D., Blochlinger S. Basic concepts of heart-lung interactions during mechanical ventilation. Swiss Med Wkly. 2017; 147: w14491. DOI: https://doi.org/10.4414/smw.2017.14491.

12. Paternot A., Repesse X., Vieillard-Baron A. Rationale and description of right ventricle-protective ventilation in ARDS. Respir Care. 2016; 61 (10): 1391-6. DOI: https://doi.org/10.4187/respcare.04943

13. Yigit §., Tdrkmen M., Tuncer O., Ta§kin E., Gdran T., Abaci A., et al. Neonatal adrenal insufficiency: Turkish Neonatal and Pediatric Endocrinology and Diabetes Societies consensus report. Turk Pediatri Ars. 2018; 53 (1): 239-43. DOI: https://doi.org/10.5152/TurkPediatriArs.2018.01822

14. Sweet D.G., Carnielli V., Greisen G., Hallman M., Ozek E., Te Pas A., et al. European consensus guidelines on the management of respiratory distress syndrome - 2019 update. Neonatology. 2019; 115 (4): 432-50. DOI: https://doi.org/10.1159/000499361

15. Alviar C.L., Miller P.E., McAreavey D., Katz J.N., Lee B., Moriyama B.; ACC Critical Care Cardiology Working Group. Positive pressure ventilation in the cardiac intensive care unit. J Am Coll Cardiol. 2018; 72 (13): 1532-53. DOI: https://doi.org/10.1016/jjacc.2018.06.074

16. Hansmann G. Pulmonary hypertension in infants, children, and young adults. J Am Coll Cardiol. 2017; 69 (20): 2551-69. DOI: https://doi.org/10.1016/j.jacc.2017.03.575

17. Golfar A., Bhogal J., Kamstra B., Hudson-Mason A., Qureshi M., Schmolzer G.M., et al. Outcome of preterm neonates with a birth weight <1,500 g with severe hypoxemic respiratory failure rescued by inhaled nitric oxide therapy and high-frequency oscillatory ventilation. Neonatology. 2017; 112 (3): 274-80. DOI: https://doi.org/10.1159/000477470

18. Nelin L.D., Hoffman G.M. The use of inhaled nitric oxide in a wide variety of clinical problems [review]. Pediatr Clin North Am. 1998; 45: 531-48.

19. Cheifetz I.M. Cardiorespiratory interactions: the relationship between mechanical ventilation and hemodynamics. Respir Care. 2017; 59 (12): 1937-45. DOI: https://doi.org/10.4187/respcare.03486

20. Nair J., Lakshminrusimha S. Update on PPHN: mechanisms and treatment. Semin Perinatol. 2014; 38 (2): 78-91. DOI: https://doi.org/10.1053/j.semperi.2013.11.004

21. Lessard M.R., Guerot E., Lorino H., Lemaire F., Brochard L. Effects of pressure controlled with different ratios versus volume controlled ventilation on respiratory mechanics, gas exchange, and hemodynamics in patients with adult respiratory distress syndrome. Anesthesiology. 1994; 80: 983-91.

22. Meyers M., Rodrigues N., Ari A. High-frequency oscillatory ventilation: A narrative review. Can J Respir Ther.: CJRT (Revue canadienne de la therapie respiratoire: RCTR). 2019; 55: 40-6. DOI: https://doi.org/10.29390/cjrt-2019-004

23. Dani C., Corsini I., Cangemi J., Vangi V., Pratesi S. Nitric oxide for the treatment of preterm infants with severe RDS and pulmonary hypertension. Pediatr Pulmonol. 2017; 52 (11): 1461-8.

24. Cvetnic W.G., Cunningham M.D., Sills J.H., Gluck L. Reintroduction of continuous negative pressure ventilation in neonates: two-year experience. Pediatr Pulmonol. 1990; 8 (4): 245-53.

25. Hess D.R. Respiratory mechanics in mechanically ventilated patients. Respir Care. 2014; 59 (11): 1773-94. DOI: https://doi.org/10.4187/respcare.03410

26. Donn S.M., Sunil K. Sinha. Manual of Neonatal Respiratory Care. Springer, 2016. 820 p.

27. Polupan A.A. Asynchronies and graphics of mechanical ventilation: Guideline for doctors. Moscow, 2017: 367 p. (in Russian)

28. Manthous C.A., Hall J.B., Kushner R., Schmidt G.A., Russo G., Wood L.D. The effect of mechanical ventilation on oxygen consumption in critically ill patients. Am J Respir Crit Care Med. 1995; 151 (1): 210-14. DOI: https://doi.org/10.1164/ajrccm.1511.7812556.

29. Mezhinskiy S.S., Karpova A.L., MostovoyA.V.,Andreev A.V.,ShilovaN.A., Kharlamova N.V. Review European consensus of management respiratory distress syndrome in neonate - 2019. Neonatologiya: novosti, mneniya, obuchenie [Neonatology: News, Opinions, Training]. 2019; 7 (3): 46-58. DOI: https://doi.org/10.24411/2308-2402-2019-13006 (in Russian)

CHIEF EDITOR
CHIEF EDITOR
Degtyarev Dmitriy Nikolaevich
Doctor of Medical Sciences, Professor, Deputy Director for Scientific Research of the V.I. Kulakov Obstetrics, Gynecology and Perinatology National Medical Research Center of Ministry of Healthсаre of the Russian Federation, Head of the Chair of Neonatology at the Clinical Institute of Children's Health named after N.F. Filatov, I.M. Sechenov First Moscow State Medical University, Chairman of the Ethics Committee of the Russian Society of Neonatologists, Moscow, Russian Federation

ORCID iD 0000-0001-8975-2425
Вскрытие
Medicine today

Уважаемые коллеги! Представляем оргкомитет 17-го Национального конгресса терапевтов (с международным участием) , который состоится 12-14 октября в МВЦ "Крокус Экспо" (павильон 3, Зал 20, г. Москва). · Президент Российского научного медицинского общества терапевтов,...

IV Съезд онкологов Московской области 7 октября 2022 года Активное развитие онкологической службы позволяет эффективно решать проблемы, возникающие на всех уровнях оказания помощи пациентам с онкозаболеваниями. Одним из успешных примеров такого взаимодействия является IV...

II Всероссийская конференция с международным участием "Воспаление глаза" 12 ноября 2022 года, Москва Воспалительные заболевания глаза - широко распространенная и многогранная проблема, с которой может столкнуться в своей практике любой специалист. Найти оптимальные алгоритмы...


Journals of «GEOTAR-Media»