Intensive Care Medicine

, Volume 21, Issue 1, pp 67–70 | Cite as

Comparative evaluation of the haemodynamic effects of continuous negative external pressure (CNEP) and positive end-expiratory pressure (PEEP) in mechanically ventilated trauma patients

  • L. Torelli
  • G. Zoccali
  • M. Casarin
  • F. Dalla Zuanna
  • E. Lieta
  • G. Conti
Brief Report

Abstract

Objective

To compare the haemodynamic effects of identical values of continuous negative external pressure (CNEP) and positive end-expiratory pressure (PEEP) in a group of mechanically ventilated patients.

Setting

General ICU, Vicenza Hospital, Italy.

Patients

15 consecutive patients, admitted after road accident trauma.

Methods

We compared the haemodynamic effects of ZEEP, 10 cmH2O of PEEP, and 10 cmH2O CNEP, applied in random order, in 15 head trauma patients under going controlled mechanical ventilation; 9 had associated thoracic trauma, while 6 did not have lung involvement. CNEP was obtained with a “poncho”.

Results

We observed a significant increase in CI during CNEP, compared with both ZEEP and PEEP 10 cmH2O. Accordingly the oxygen delivery index significantly increased during CNEP, compared with PEEP 10 cmH2O. Conversely,\({{\dot Q_s } \mathord{\left/ {\vphantom {{\dot Q_s } {\dot Q_t }}} \right. \kern-\nulldelimiterspace} {\dot Q_t }}\) decreased with CNEP, if compared with PEEP, both in patients with and without lung damage.

Conclusion

CNEP can significantly increase CI in mechanically ventilated patients in patients with and without associated lung damage.

Key words

Mechanical ventilation PEEP CNEP Poncho Trauma 

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Copyright information

© Springer-Verlag 1995

Authors and Affiliations

  • L. Torelli
    • 1
  • G. Zoccali
    • 1
  • M. Casarin
    • 1
  • F. Dalla Zuanna
    • 1
  • E. Lieta
    • 1
  • G. Conti
    • 2
  1. 1.Department of Anesthesia and Intensive CareVicenza HospitalVicenzaItaly
  2. 2.Department of Intensive CareUniversity of Rome “La Sapienza”RomeItaly

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