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VOLUME 14 , ISSUE 3 ( July, 2010 ) > List of Articles

CASE REPORT

Functional residual capacity tool: A practical method to assess lung volume changes during pulmonary complications in mechanically ventilated patients

S. Veena, Sudeep Palepu, G.S. Umamaheswara Rao, V.J. Ramesh

Keywords : Alveolar recruitment, functional residual capacity, mechanical ventilation, monitoring, positive end expiratory pressure, pulmonary complications

Citation Information : Veena S, Palepu S, Umamaheswara Rao G, Ramesh V. Functional residual capacity tool: A practical method to assess lung volume changes during pulmonary complications in mechanically ventilated patients. Indian J Crit Care Med 2010; 14 (3):151-153.

DOI: 10.4103/0972-5229.74175

License: CC BY-ND 3.0

Published Online: 01-07-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

In this report, we describe a patient in whom we used a functional residual capacity (FRC) tool available on a critical care ventilator to identify the loss of lung volume associated with pulmonary complications and increase in FRC with the application of a recruitment maneuver. The case report underlines the utility of the FRC tool in rapid visualization of the lung volume changes and the effects of application of corrective strategies in patients receiving mechanical ventilation.


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  1. Puybasset L, Cluzel P, Chao N, Slutsky AS, Coriat P, Rouby JJ. A computed tomography scan assessment of regional lung volume in acute lung injury: The CT Scan ARDS Study Group. Am J Respir Crit Care Med 1998;158:1644-55.
  2. Constantin JM, Jaber S, Futier E, Cayot-Constantin S, Verny-Pic M, Jung B, et al. Respiratory effects of different recruitment maneuvres in acute respiratory distress syndrome. Crit Care 2008;12:R50.
  3. Malbouisson LM, Muller JC, Constantin JM, Lu Q, Puybasset L, Rouby JJ. Computed tomography assessment of positive end-expiratory pressure-induced alveolar recruitment in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 2001;163:1444-50.
  4. David M, Karmrodt J, Bletz C, David S, Herweling A, Kauczor HU, et al. Analysis of atelectasis, ventilated, and hyperinflated lung during mechanical ventilation by dynamic CT. Chest 2005;128:3757-70.
  5. Olegεrd C, Sφndergaard S, Houltz E, Lundin S, Stenqvist O. Estimation of functional residual capacity at the bedside using standard monitoring equipment: a modified nitrogen washout/washin technique requiring a small change of the inspired oxygen fraction. Anesth Analg 2005;101:206-12.
  6. Blanch L, Fernandez R, Lopez-Aguilar J. Recruitment maneuvers in acute lung injury. Respir Care Clin N Am 2002;8:281-94.
  7. Constantin JM, Cayot-Constantin S, Roszyk L, Futier E, Sapin V, Dastugue B, et al. Response to recruitment maneuver influences net alveolar fluid clearance in acute respiratory distress syndrome. Anesthesiology 2007;106:944-51.
  8. Zinserling J, Wrigge H, Varelmann D, Hering R, Putensen C. Measurement of functional residual capacity by nitrogen washout during partial ventilatory support. Intensive Care Med 2003;29:720-6.
  9. Maisch S, Reissmann H, Fuellekrug B, Weismann D, Rutkowski T, Tusman G, et al. Compliance and dead space fraction indicate an optimal level of positive end-expiratory pressure after recruitment in anesthetized patients. Anesth Analg 2008;106:175-81.
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