Hypercapnia and ventilator-induced diaphragmatic dysfunction
- PMID: 23566565
- PMCID: PMC3672517
- DOI: 10.1186/cc12563
Hypercapnia and ventilator-induced diaphragmatic dysfunction
Abstract
In the previous issue of Critical Care, Jung and colleagues report on the preventive effects of hypercapnia on ventilator-induced diaphragmatic dysfunction (VIDD) under controlled ventilation. Possibly, a combination of controlled hypercapnia and allowed spontaneous breathing efforts may provide complementary protection for diaphragm and respiratory functionality during mechanical ventilation. However, further safety and efficacy studies need to be performed in various different animal models and patients before a universal application of hypercapnia in the critical care setting for the prevention of VIDD can be considered.
Comment on
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Moderate and prolonged hypercapnic acidosis may protect against ventilator-induced diaphragmatic dysfunction in healthy piglet: an in vivo study.Crit Care. 2013 Jan 24;17(1):R15. doi: 10.1186/cc12486. Crit Care. 2013. PMID: 23347872 Free PMC article.
References
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- Jung B, Sebbane M, Le Goff C, Rossel N, Chanques G, Futier E, Constantin JM, Matecki S, Jaber S. Moderate and prolonged hypercapnic acidosis may protect against ventilator-induced diaphragmatic dysfunction in healthy piglet: an in vivo study. Crit Care. 2013;17:R15. doi: 10.1186/cc12486. - DOI - PMC - PubMed
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- McClung JM, Kavazis AN, Whidden MA, DeRuisseau KC, Falk DJ, Criswell DS, Powers SK. Antioxidant administration attenuates mechanical ventilation-induced rat diaphragm muscle atrophy independent of protein kinase B (PKB Akt) signalling. J Physiol. 2007;585:203–215. doi: 10.1113/jphysiol.2007.141119. - DOI - PMC - PubMed
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