Effect of fluid and driving pressure on cyclical “on–off” flow of pulmonary microcirculation during mechanical ventilation

The difference in alveolar perfused microcirculation between inspiration and expiration defined as cyclical "on-off flow" can be detected. High driving pressure can enhance the cyclical "on-off" flow, and fluid loading can relieve it. High driving pressure can potentially cause injury to pulmonary capillaries due to the phenomenon of "on-off" flow, thereby exacerbating ARDS.

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Publication Details

Journal
Intensive Care Medicine Experimental
Published
2024-12-04
DOI
https://doi.org/10.1186/s40635-024-00689-6
Primary Topic
Respiratory Support and Mechanisms
Type
article
Field-Weighted Citation Impact
0.00

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article

Effect of fluid and driving pressure on cyclical “on–off” flow of pulmonary microcirculation during mechanical ventilation

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Intensive Care Medicine Experimental
Respiratory Support and Mechanisms
article

Effect of fluid and driving pressure on cyclical “on–off” flow of pulmonary microcirculation during mechanical ventilation

Haoping Huang, Huaiwu He, Yi Chi, Longxiang Su, Şakir Akın, Siyi Yuan, Chaofu Yue, Liangyu Mi, Can İnce, Yun Long, Zeming Zhao, Xiangyu Chen, Bo Liu
article en

Abstract

The difference in alveolar perfused microcirculation between inspiration and expiration defined as cyclical "on-off flow" can be detected. High driving pressure can enhance the cyclical "on-off" flow, and fluid loading can relieve it. High driving pressure can potentially cause injury to pulmonary capillaries due to the phenomenon of "on-off" flow, thereby exacerbating ARDS.

Intensive Care Medicine ExperimentalVol. 12(1)
Jiamusi University (CN), Chinese Academy of Medical Sciences & Peking Union Medical College (CN), Peking Union Medical College Hospital (CN), Erasmus MC (NL), Haga Hospital (NL), Jingzhou Central Hospital (CN), Affiliated Hospital of Jining Medical University (CN), Erasmus University Rotterdam (NL)
Peking Union Medical College Hospital
Openalex Percentile: Top 59%
Respiratory Support and Mechanisms
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