Document Detail


Effect of PEEP ventilation on renal function, plasma renin, aldosterone, neurophysins and urinary ADH, and prostaglandins.
MedLine Citation:
PMID:  6337527     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To explore the main factors which could be involved in the fluid retention induced by continuous positive pressure ventilation (CPPV), hemodynamics, renal, and hormonal parameters were measured in seven intensive care patients during three consecutive 60-min periods; one of intermittent positive pressure ventilation (IPPV), one of CPPV (PEEP 10 cmH2O), and finally one of IPPV. During CPPV, a 15% decrease in cardiac output was observed, without alteration in arterial pressure or right atrial transmural pressure. In addition, decreases were observed in urinary output by 34%, glomerular filtration rate by 19%, renal blood flow by 32%, sodium excretion by 33%, and potassium excretion by 26%. There was no change in the fractional excretion of sodium and free water. Institution of PEEP also led to a significant increase in plasma renin activity, plasma aldosterone, and urinary antidiuretic hormone, without significant variation in plasma neurophysins and urinary prostaglandins E and F alpha. All of the changes that occurred during CPPV were reversed when PEEP was withdrawn. It is concluded that the short-term antidiuretic effect of PEEP is mainly due to a hemodynamic impairment of renal function. The water- and sodium-retaining hormonal systems also are stimulated and could participate in the fluid retention during more prolonged respiratory support with PEEP.
Authors:
G Annat; J P Viale; B Bui Xuan; O Hadj Aissa; D Benzoni; M Vincent; C Gharib; J Motin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Anesthesiology     Volume:  58     ISSN:  0003-3022     ISO Abbreviation:  Anesthesiology     Publication Date:  1983 Feb 
Date Detail:
Created Date:  1983-03-11     Completed Date:  1983-03-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  1300217     Medline TA:  Anesthesiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  136-41     Citation Subset:  AIM; IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aldosterone / blood
Female
Glomerular Filtration Rate
Humans
Kidney / physiology*
Male
Middle Aged
Natriuresis
Neurophysins / blood
Positive-Pressure Respiration / methods*
Prostaglandins / urine
Renal Circulation
Renin / blood
Vasopressins / urine
Chemical
Reg. No./Substance:
0/Neurophysins; 0/Prostaglandins; 11000-17-2/Vasopressins; 52-39-1/Aldosterone; EC 3.4.23.15/Renin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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