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  • Book
  • © 1987

Cardiopulmonary Interactions in Acute Respiratory Failure

Editors:

  1. Jean Louis Vincent

    1. Department of Intensive Care, Erasme Hospital, Free University of Brussels, Brussels, Belgium

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    You can also search for this editor in PubMed   Google Scholar

  2. Peter M. Suter

    1. Department of Surgical Intensive Care, University Hospital of Geneva, Geneva 4, Switzerland

    View editor publications

    You can also search for this editor in PubMed   Google Scholar

Part of the book series: Update in Intensive Care and Emergency Medicine (UICM, volume 2)

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Table of contents (24 chapters)

  1. Front Matter

    Pages I-XI
    PDF

  7. Coronary Perfusion of the Right Ventricle

    • D. Scheidegger
    Pages 61-71

  8. Right Ventricular Contraction

    • P. Foëx
    Pages 72-80

  10. Evaluation of Right Ventricular Function by Thermodilution Techniques

    • J. F. Dhainaut, F. Brunet, D. Villemant
    Pages 95-106

  12. Hemodynamic Effects of Increased Intrathoracic Pressure

    • J. Peters, J. L. Robotham
    Pages 120-134

  13. Circulatory Effects of Mechanical Ventilation

    • D. M. Payen, S. Beloucif
    Pages 135-145

  14. Renal Effects of Mechanical Ventilation

    • H. H. Steinhoff, J. Bergmann, K. J. Falke
    Pages 146-155

  15. Cardiac Effects of PEEP Therapy

    • P. M. Suter
    Pages 156-164

  17. Hemodynamic Effects of Unilateral Acute Lung Injury

    • G. Crimi, M. Bufi, G. Conti
    Pages 174-182

  18. Respiratory Support in Patients with Heart Failure

    • J. Räsänen, P. Nikki, I. T. Väisänen
    Pages 183-191

  20. Pulmonary Hypertension in the Adult Respiratory Distress Syndrome

    • A. Artigas, A. Roglan, R. Martinez
    Pages 203-225
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About this book

In summary, the mechanical integration of ventricular and pulmonary actions is determined by a number of mechanisms including airway pressure, pleural and pericardial pressure, state of the interventricular septum, and others. After this brief review of essential features, we may discuss some aspects of the interactions between heart and lung function. Influence of Intrathoracic Pressure: The Importance of Transmural Pressure It is established that blood pressure, volume and flow rates in the lesser circula­ tion change during each respiratory cycle. The effects of intrathoracic (Pit) and pleural (P pi) pressures, and lung volumes, were recently described in terms of ventricular preload and afterload during normal breathing, hyperventilation, and the Valsalva and Muller maneuvers [4, 7, 8]. Still, many aspects remain unsettled, mainly because of technical difficulties related to the simultaneous recording of floating respiratory and circulatory events in the intact animal or in man [9]. Some confusion arises from the clinicians' unawareness of the role played by the transmural pressure (Ptm), being the pressure gradient between the lumen of a vessel or heart chamber and the surrounding tissues (Pit for the pulmonary arteries and veins, and Ppe for the heart). Yet, an undetected change of Plm may modify vascular caliber and resistance in the pulmonary district, regardless of any changes in vasomotor activity. Consequently, a change of vascular resistance concomitant with a change of Ptm is not a reliable index of pulmonary vasomo­ tricity.
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Keywords

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Editors and Affiliations

  • Department of Intensive Care, Erasme Hospital, Free University of Brussels, Brussels, Belgium

    Jean Louis Vincent

  • Department of Surgical Intensive Care, University Hospital of Geneva, Geneva 4, Switzerland

    Peter M. Suter

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Bibliographic Information

  • Book Title: Cardiopulmonary Interactions in Acute Respiratory Failure

  • Editors: Jean Louis Vincent, Peter M. Suter

  • Series Title: Update in Intensive Care and Emergency Medicine

  • DOI: https://doi.org/10.1007/978-3-642-83010-5

  • Publisher: Springer Berlin, Heidelberg

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag Berlin Heidelberg 1987

  • Softcover ISBN: 978-3-540-17474-5Due: 27 February 1987

  • eBook ISBN: 978-3-642-83010-5Published: 06 December 2012

  • Series ISSN: 0933-6788

  • Edition Number: 1

  • Number of Pages: XI, 265

  • Number of Illustrations: 26 b/w illustrations

  • Topics: Intensive / Critical Care Medicine, Emergency Medicine, Surgery

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