Pleural effusion decreases left ventricular pre‐load and causes haemodynamic compromise: an experimental porcine study

Although pleural effusion is a common complication in critically ill patients, detailed knowledge is missing about the haemodynamic impact and the underlining mechanisms. The aim of this study was to evaluate the haemodynamic effect of incremental pleural effusion by means of invasive haemodynamic parameters and transthoracic echocardiography.

[1]  S. Goldsack,et al.  IN REAL-TIME , 2008 .

[2]  S. Sahn,et al.  Pleural effusions in the medical ICU: prevalence, causes, and clinical implications. , 1997, Chest.

[3]  J. Savino,et al.  Hemodynamic and pulmonary changes after drainage of significant pleural effusions in critically ill, mechanically ventilated surgical patients. , 2004, The Journal of trauma.

[4]  S. Beckh,et al.  Real-time chest ultrasonography: a comprehensive review for the pulmonologist. , 2002, Chest.

[5]  A. Larsson,et al.  Lung recruitment maneuver depresses central hemodynamics in patients following cardiac surgery , 2005, Intensive Care Medicine.

[6]  N. Kanuru,et al.  Echocardiography of Serous Effusions Adjacent to the Heart , 2001, Echocardiography.

[7]  Bram W. Smith,et al.  Does a positive end‐expiratory pressure‐induced reduction in stroke volume indicate preload responsiveness? An experimental study , 2007, Acta anaesthesiologica Scandinavica.

[8]  A. Mebazaa,et al.  Echocardiography in the ICU: time for widespread use! , 2006, Intensive Care Medicine.

[9]  H. S. Klopfenstein,et al.  Pleural Effusion as a Cause of Right Ventricular Diastolic Collapse , 1992, Circulation.

[10]  G. Rozycki,et al.  Surgeon-performed ultrasound in the critical care setting: its use as an extension of the physical examination to detect pleural effusion. , 2001, The Journal of trauma.

[11]  J. Hasenkam,et al.  A model for left ventricular hypertrophy enabling non-invasive assessment of cardiac function , 2009, Scandinavian cardiovascular journal : SCJ.

[12]  J. Pepper,et al.  'Tamponade' following cardiac surgery: terminology and echocardiography may both mislead. , 2004, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery.

[13]  E. Foster,et al.  Analysis of left ventricular systolic function , 1996, Heart.

[14]  M. J. Conley,et al.  An echocardiographic index for separation of right ventricular volume and pressure overload. , 1985, Journal of the American College of Cardiology.

[15]  G. Rozycki,et al.  An algorithm to reduce the incidence of false-negative FAST examinations in patients at high risk for occult injury. Focused Assessment for the Sonographic Examination of the Trauma patient. , 1999, Journal of the American College of Surgeons.

[16]  E. Sloth,et al.  New pocket echocardiography device is interchangeable with high‐end portable system when performed by experienced examiners , 2010, Acta anaesthesiologica Scandinavica.

[17]  G. Rozycki,et al.  An algorithm to reduce the incidence of false-negative FAST∗ ∗ examinations in patients at high risk for occult injury 1 , 1999 .

[18]  P. Chandraratna,et al.  Large pleural effusions producing signs of cardiac tamponade resolved by thoracentesis. , 2002, The American journal of cardiology.

[19]  A. Larsson,et al.  Central hemodynamics during lung recruitment maneuvers at hypovolemia, normovolemia and hypervolemia. A study by echocardiography and continuous pulmonary artery flow measurements in lung-injured pigs , 2006, Intensive Care Medicine.

[20]  E. Sloth,et al.  Echocardiography for cardiopulmonary optimization in the intensive care unit: should we expand its use? , 2004, Acta anaesthesiologica Scandinavica.

[21]  N. Pandian,et al.  Clinical, echocardiographic, and hemodynamic evidence of cardiac tamponade caused by large pleural effusions. , 1995, American journal of respiratory and critical care medicine.

[22]  B. Kavanagh,et al.  Gas exchange and hemodynamics in experimental pleural effusion. , 1999, Critical care medicine.

[23]  Daniel Lichtenstein,et al.  Comparative Diagnostic Performances of Auscultation, Chest Radiography, and Lung Ultrasonography in Acute Respiratory Distress Syndrome , 2004, Anesthesiology.