Impact of steroid medication before hospital admission on barotrauma in mechanically ventilated patients with acute respiratory distress syndrome in intensive care units

详细信息    查看全文

• 作者：Takeshi Umegaki ; Sachiyo Sakamoto ; Kenichiro Nishi…
• 关键词：Steroid ; Barotrauma ; Acute respiratory distress syndrome ; Intensive care unit
• 刊名：Journal of Anesthesia
• 出版年：2014
• 出版时间：October 2014
• 年：2014
• 卷：28
• 期：5
• 页码：681-686
• 全文大小：179 KB
• 参考文献：1. Hodoqson C, Carteaux G, Tuxen DV, Davies AR, Pelleqrino V, Capellier G, Cooper DJ, Nichol A. Hypoxaemic rescue therapies in acute respiratory distress syndrome: why, when, what and which one?. Injury 2012. doi:10.1016/injury.2012.11.017 .
  2. Ashbaugh DG, Biqelow DB, Petty TL, Levine BE. Acute respiratory distress in adults. Lancet. 1967;2(7511):319-3. CrossRef
  3. Wheeler AP, Bernard GR, Thompson BT, Schoenfeld D, Wiedemann HP, deBoisblanc B, Connors AF Jr, Hite RD, Harabin AL. Pulmonary-artery versus central venous catheter to guide treatment of acute lung injury. N Engl J Med. 2006;354(21):2213-4. CrossRef
  4. Wiedemann HP, Wheeler AP, Bernard GR, Thompson BT, Hayden D, deBoisblanc B, Connors AF Jr, Hite RD, Harabin AL. Comparison of two fluid-management strategies in acute lung injury. N Engl J Med. 2006;354(24):2564-5. CrossRef
  5. Oba Y, Salzman GA. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury. N Engl J Med. 2000;343(11):813.
  6. Ando K, Doi T, Moody SY, Ohkuni Y, Sato S, Kaneko N. The effect of comorbidity on the prognosis of acute lung injury and acute respiratory distress syndrome. Intern Med. 2012;51(14):1835-0. CrossRef
  7. Sigurdsson MI, Sigvaldason K, Gunnarsson TS, Moller A, Sigurdsson GH. Acute respiratory distress syndrome: nationwide changes in incidence, treatment and mortality over 23?years. Acta Anaesthesiol Scand 2013;57(1):37-5.
  8. Swift I, Satti A, Kim V, Make BJ, Newell J, Steiner RM, Wilson C, Murphy JR, Silverman EK, Criner GJ. Demographic, physiologic and radiologic characteristics of COPD patients taking chronic systemic corticosteroids. COPD. 2012;9(1):29-5. CrossRef
  9. Kishi K, Kashiwabara K, Narushina G, Kobayashi K, Yagyu H, Nakamura H, Matsuoka T. Mixed connective tissue disease-associated interstitial pneumonia complicated by pneumomediastinum during prednisolone therapy. Nihon Kokyuki Gakkai Zasshi. 2000;38(6):480-.
  10. Ranieri VM, Rubenfeld GD, Thompson BT, Ferquson ND, Caldwell E, Fan E, Camporota L, Slutsky AS. Acute respiratory distress syndrome: the Berlin Definition. JAMA. 2012;307(23):2526-3.
  11. Tallgren M, B?cklund M, Hynninen M. Accuracy of Sequential Organ Failure Assessment (SOFA) scoring in clinical practice. Acta Anaesthesiol Scand. 2009;53(1):39-5. CrossRef
  12. Sundararajan V, Henderson T, Perry C, Muqqivan A, Quan H, Ghali WA. New ICD-10 version of the Charlson comorbidity index predicted in-hospital mortality. J Clin Epidemiol. 2004;57(12):1288-4. CrossRef
  13. Anzueto A, Frutos-Vivar F, Esteban A, Alía I, Brochard L, Steeart T, Benito S, Tobin MJ, Elizalde J, Palizas F, David CM, Pimentel J, González M, Soto L, D’Empaire G, Pelosi P. Incidence, risk factors and outcome of barotrauma in mechanically ventilated patients. Intensive Care Med. 2004;30(4):612-. CrossRef
  14. Weg JG, Anzueto A, Balk RA, Wiedemann HP, Pattishall EN, Schork MA, Wagner LA. The relation of pneumothorax and other air leaks to mortality in the acute respiratory distress syndrome. N Engl J Med 338(6):341-46
  15. Eisner MD, Thompson T, Hayden D, Anzueto A, Matthay MA. Airway pressures and early barotrauma in patients with acute lung injury and the acute respiratory distress syndrome. Am J Respir Crit Care. 2002;165(7):978-2. CrossRef
  16. Argiras EP, Blakeler CR, Dunnill MS, Otremski S, Sykes MK. High PEEP decreases hyaline membrane formation in surfactant deficient lung. Br J Anaesth. 1987;59(10):1278-5. CrossRef
  17. Woodring JH. Pulmonary interstitial emphysema in the adult respiratory distress syndrome. Crit Care Med. 1985;13(10):786-1. CrossRef
  18. Zimmerman JE, Dunbar BS, Klingenmaier CH. Management of subcutaneous emphysema, pneumomediastinum, and pneumothorax during respiratory therapy. Crit Care Med. 1975;3(2):69-3. CrossRef
  19. Stanta Cruz R, Rojas JI, Nervi R, Heredia R, Ciapponi A. High versus low positive end-expiratory pressure (PEEP) levels for mechanically ventilated adult patients with acute lung injury and acute respiratory distress syndrome. Cochrane Database Syst Rev. 2013;6:CD009098.
  20. Boussarsar M, Thierry G, Jaber S, Roudot-Thoraval F, Lemaire F, Brochard L. Relationship between ventilatory settings and barotrauma in the acute respiratory distress syndrome. Intensive Care Med. 2002;28(4):406-3. CrossRef
  21. McDouqall D, Bhibhatbhan A, Toth C. Adverse effects of corticosteroid therapy in neuromuscular diseased patients are common and receive insufficient prophylaxis. Acta Neurol Scand. 2009;120(5):364-. CrossRef
  22. Kelman GJ, Williams GW, Colwell CW Jr, Walker RH. Steroid-related osteonecrosis of the knee. Two case reports and a literature review. Clin Orthop Relat Res. 1990;257:171-.
  23. Borba A, Guil D, Naveso G, Maqro E, Olveira C, Cardoso J, Semedo L. Oral steroids effects on the respiratory muscles function in severe asthmatic patients. Rev Port Pneumol. 2006;12(6 suppl 1):39-0.
  24. Geusens E, Pans S, Van Breuseghem I, Knockaert D. Necrotizing fasciitis of the leg presenting with chest wall emphysema. Eur J Emerg Med. 2004;11(1):49-1. CrossRef
  25. Christensen S, Johansen MB, Christiansen CF, Jensen R, Lemeshow S. Comparison of Charlson comorbidity index with SAPS and APACHE scores for prediction of mortality following intensive care. Clin Epidemiol. 2011;3:203-1. CrossRef
  26. Yoshida T, Rinka H, Kaji A, Yoshimoto A, Arimoto H, Miyaichi T, Kan M. The impact of spontaneous ventilation on distribution of lung aeration in patients with acute respiratory distress syndrome: airway pressure release ventilation versus pressure support ventilation. Anesth Analg. 2009;109(6):1892-00. CrossRef
  27. Myers TR, Maclntyre NR. Respiratory controversies in the critical care setting. Does airway pressure release ventilation offer important new advantages in mechanical ventilator support? Respir Care. 2007;52(4):452-.
  28. Dasenbrook EC, Needham DM, Brower RG, Fan E. Higher PEEP in patients with acute lung injury: a systematic review and meta-analysis. Respir Care. 2011;56(5):568-5. CrossRef
  
• 作者单位：Takeshi Umegaki (1)
  Sachiyo Sakamoto (1)
  Kenichiro Nishi (1)
  Akihisa Okamoto (1)
  Aki Onose (2)
  Nobuyuki Hamano (1)
  Etsuko Yamazaki (3)
  Koh Shingu (1)
  
  1. Department of General Intensive Care Unit, Hirakata Hospital, Kansai Medical University, 2-3-1 Shin-machi, Hirakata, Osaka, 573-1191, Japan
  2. Department of Anesthesiology, National Center for Global Health and Medicine, Tokyo, Japan
  3. Department of Anesthesiology, Takii Hospital, Kansai Medical University, Osaka, Japan
  
• ISSN：1438-8359

文摘

Purpose To investigate the association between steroid medication before hospital admission and barotrauma in mechanically ventilated patients with acute respiratory distress syndrome (ARDS). Methods An observational single-center retrospective study was conducted using patients admitted to the general intensive care unit (ICU) of a university hospital in Japan. We analyzed 149 mechanically ventilated patients with ARDS hospitalized between March 2008 and March 2011. ARDS was identified according to criteria from the Berlin Definition. Barotrauma was defined as pneumothorax, subcutaneous emphysema, or mediastinal emphysema occurring during mechanical ventilation in the ICU. The influence of steroid medication before hospital admission on barotrauma was studied using multiple logistic regression analysis. Results There were no differences in baseline patient characteristics except for congestive heart failure, peak pressure during mechanical ventilation, and steroid pulse therapy between the barotrauma and non-barotrauma groups. Logistic regression analysis showed that peak pressure ?5 cmH2O was associated with barotrauma in patients with ARDS [odds ratio (OR), 17.34; P?P?=?0.51). Conclusions Barotrauma in ARDS patients was associated with higher pressure during mechanical ventilation but not with steroid medication before hospital admission.