Volumetric responsiveness of total lung compliance

HUANG Jing; WANG Lin; CAO Yang

doi:10.7619/jcmp.20214873

Journal of Clinical Medicine in Practice > 2022 > 26(10): 88-91. > DOI: 10.7619/jcmp.20214873

HUANG Jing, WANG Lin, CAO Yang. Volumetric responsiveness of total lung compliance[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 88-91. DOI: 10.7619/jcmp.20214873

Citation:

HUANG Jing, WANG Lin, CAO Yang. Volumetric responsiveness of total lung compliance[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 88-91. DOI: 10.7619/jcmp.20214873

Citation:

HUANG Jing, WANG Lin, CAO Yang. Volumetric responsiveness of total lung compliance[J]. Journal of Clinical Medicine in Practice, 2022, 26(10): 88-91. DOI: 10.7619/jcmp.20214873

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Volumetric responsiveness of total lung compliance

HUANG Jing¹,
WANG Lin²,
CAO Yang^{1, 2,}

1.
Guizhou Medical University, Guiyang, Guizhou, 550004
2.
Anesthesiology Department, Guangzhou Red Cross Hospital of Guangdong Province, Guangzhou, Guangdong, 510220

More Information

Received Date: December 09, 2021
Available Online: May 24, 2022

Graphical Abstract

Abstract

Abstract

Objective
To investigate the volumetric responsiveness of lung total compliance (C) and the effect of hypertension on its responsiveness.
Methods
Sixty-five patients who underwent elective recumbent surgery in Red Cross Hospital of Guangzhou in Guangdong Province were selected as study subjects.C, airway plateau pressure (p_plat), peak airway pressure (p_peak), heart rate (HR), mean arterial pressure (MAP), cardiac output (CO), stroke volume variability (SVV) and stroke volume (SV) of patients were recorded at different time points[5 min (t₁), 10 min (t₂), 15 min (t₃), 20 min (t₄), 25 min (t₅), 30 min (t₆)]of 30 min after mechanical ventilation.The change of C, SV, SVV (△C, △SV, △SVV) of patients in time periods of T₁(5 to 10 min), T₂(>10 to 15 min), T₃(>15 to 20 min), T₄(>20 to 25min) and T₅(>25 to 30 min) were recorded.The brachial and ankle pulse wave conduction velocity (BaPWV) of hypertensive and non-hypertensive patients was collected by Japanese Kelin arteriosclerosis detector.
Results
There were no significant differences in HR, MAP, SVV, SV, CO, p_plat, p_peak and C from t₁ to t₆ time points (P>0.05).The correlation coefficients (r) between △C and △SVV were-0.626, -0.650, -0.676, -0.588, -0.518, respectively, were 0.744, 0.772, 0.785, 0.698 and 0.681, respectively between △C and △SV in all subjects during T₁ to T₅; during T₁ to T₅, the correlations between △C and △SVV, between △C and △SV increased in non-hypertensive subjects, but decreased in hypertensive subjects, the correlations between △C and △SVV or △C and △SV were the strongest during T₃ in both hypertensive and non-hypertensive subjects.BaPWV of hypertensive and non-hypertensive patients showed significant difference (P < 0.05).
Conclusion
C has capacity response and hypertension can affect its responsiveness.

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References (21)

References

[1]	徐娜, 兰飞, 姚东旭, 等. 目标导向液体治疗对脊柱手术老年患者预后的影响[J]. 临床麻醉学杂志, 2018, 34(7): 647-650. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMZ201807007.htm
[2]	RENNER J, CAVUS E, MEYBOHM P, et al. Stroke volume variation during hemorrhage and after fluid loading: impact of different tidal volumes[J]. Acta Anaesthesiol Scand, 2007, 51(5): 538-544. doi: 10.1111/j.1399-6576.2007.01282.x
[3]	KUBITZ J C, ANNECKE T, KEMMING G I, et al. The influence of positive end-expiratory pressure on stroke volume variation and central blood volume during open and closed chest conditions[J]. Eur J Cardiothorac Surg, 2006, 30(1): 90-95. doi: 10.1016/j.ejcts.2006.04.008
[4]	KIM H K, PINSKY M R. Effect of tidal volume, sampling duration, and cardiac contractility on pulse pressure and stroke volume variation during positive-pressure ventilation[J]. Crit Care Med, 2008, 36 (10): 2858-2862. doi: 10.1097/CCM.0b013e3181865aea
[5]	李思源, 李静洁, 江来. 围手术期肺顺应性影响因素探讨[J]. 国际麻醉学与复苏杂志, 2017, 38(10): 910-914, 924. doi: 10.3760/cma.j.issn.1673-4378.2017.10.011
[6]	JIHYUN L, DONGHWAN K, YOUNGJANG L, et al. Hypertension is associated with increased risk of diabetic lung[J]. Int J Environ Res Public Heal, 2020, 17(20): 7513. doi: 10.3390/ijerph17207513
[7]	BECHER T, SCHÄDLER D, ROSTALSKI P, et al. Determination of respiratory system compliance during pressure support ventilation by small variations of pressure support[J]. J Clin Monit Comput, 2018, 32(4): 741-751. doi: 10.1007/s10877-017-0063-6
[8]	MAGGIORE S M, BROCHARD L. Pressure-volume curve: methods and meaning[J]. Minerva Anestesiologica, 2001, 67(4): 228-237.
[9]	SAXENA S, TRIPATHI M, KUMAR V, et al. Study of tidal volume and positive end-expiratory pressure on alveolar recruitment using spiro dynamics in mechanically ventilated patients[J]. Anesth Essays Res, 2020, 14(1): 154-159. doi: 10.4103/aer.AER_10_20
[10]	XU D, WEI W, CHEN L H, et al. Effects of different positive end-expiratory pressure titrating strategies on oxygenation and respiratory mechanics during one-lung ventilation: a randomized controlled trial[J]. Ann Palliat Med, 2021, 10(2): 1133-1144. doi: 10.21037/apm-19-441
[11]	SUNDARAM S C, SALINS S R, KUMAR A N, et al. Intra-operative fluid management in adult neurosurgical patients undergoing intracranial tumour surgery: randomised control trial comparing pulse pressure variance (PPV) and central venous pressure (CVP)[J]. J Clin Diagn Res, 2016, 10(5): UC01-UC05.
[12]	KIMURA A, SUEHIRO K, JURI T, et al. Hemodynamic changes via the lung recruitment maneuver can predict fluid responsiveness in stroke volume and arterial pressure during one-lung ventilation[J]. Anesth Analg, 2021, 133(1): 44-52. doi: 10.1213/ANE.0000000000005375
[13]	ZHANG J, QIAO H, HE Z Y, et al. Intraoperative fluid management in open gastrointestinal surgery: goal-directed versus restrictive[J]. Clin Sao Paulo Braz, 2012, 67(10): 1149-1155. doi: 10.6061/clinics/2012(10)06
[14]	SLOBOD D, YAO H, MARDINI J, et al. Bioimpedance-measured volume overload predicts longer duration of mechanical ventilation in intensive care unit patients[J]. Can J Anaesth, 2019, 66(12): 1458-1463. doi: 10.1007/s12630-019-01450-4
[15]	JEAN-LOUIS V, HARRY W M. Fluid challenge revisited[J]. Crit Care Med, 2006, 34(5): 1333-1337. doi: 10.1097/01.CCM.0000214677.76535.A5
[16]	PINSKY M R. Cardiovascular issues in respiratory care[J]. Chest, 2005, 128(5 Suppl 2): 592S-597S.
[17]	BONIOS M J, KYRZOPOULOS S, TSIAPRAS D, et al. Ultrasound guidance for volume management in patients with heart failure[J]. Heart Fail Rev, 2020, 25(6): 927-935. doi: 10.1007/s10741-019-09863-5
[18]	VAN DEN BOS, WESTERHOF N, RANDALL O S. Pulse Wave Reflection: Can It Explain the Differences Between Systemic and Pulmonary Pressure and Flow Waves A Study in Dogs[J]. Circ Res, 1982, 51(4): 479-485. doi: 10.1161/01.RES.51.4.479
[19]	KACZMARCZYK P, MAGA P, NIZANKOWSKI R, et al. The relationship between pulse waveform analysis indices, endothelial function and clinical outcomes in patients with peripheral artery disease treated using percutaneous transluminal angioplasty during a one-year follow-up period[J]. Cardiol J, 2020, 27(2): 142-151. doi: 10.5603/CJ.a2018.0026
[20]	MOURA N G R, FERREIRA A S. Pulse waveform analysis of Chinese pulse images and its association with disability in hypertension[J]. J Acupunct Meridian Stud, 2016, 9(2): 93-98. doi: 10.1016/j.jams.2015.06.012
[21]	SUNG J, CHO S J, HONG K P. Relationship between fitness and arterial stiffness according to hypertensive state[J]. Clin Exp Hypertens, 2019, 41(8): 733-738. doi: 10.1080/10641963.2018.1545849

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