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Cited by 271Respiratory Support and MechanismsMechanical Circulatory Support DevicesHemodynamic Monitoring and Therapy

Positive pressure ventilation in the cardiac intensive care unit

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Alviar, Carlos L., Miller, P. Elliott, McAreavey, Dorothea, Katz, Jason N., Lee, Burton, Moriyama, Brad, Soble, Jeffrey, van Diepen, Sean +2 more·2018·Journal of the American College of Cardiology
DOI 10.1016/j.jacc.2018.06.074PMC PMC11032173
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Abstract

Contemporary cardiac intensive care units (CICUs) provide care for an aging and increasingly complex patient population. The medical complexity of this population is partly driven by an increased proportion of patients with respiratory failure needing noninvasive or invasive positive pressure ventilation (PPV). PPV often plays an important role in the management of patients with cardiogenic pulmonary edema, cardiogenic shock, or cardiac arrest, and those undergoing mechanical circulatory support. Noninvasive PPV, when appropriately applied to selected patients, may reduce the need for invasive mechanical PPV and improve survival. Invasive PPV can be lifesaving, but has both favorable and unfavorable interactions with left and right ventricular physiology and carries a risk of complications that influence CICU mortality. Effective implementation of PPV requires an understanding of the underlying cardiac and pulmonary pathophysiology. Cardiologists who practice in the CICU should be proficient with the indications, appropriate selection, potential cardiopulmonary interactions, and complications of PPV.

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Authors
Alviar, C. L., Miller, P. E., McAreavey, D., Katz, J. N., Lee, B., Moriyama, B., Soble, J., van Diepen, S., Solomon, M. A., & Morrow, D. A.
Affiliations
  • University of Florida Health (US)
  • National Institutes of Health (US)
  • University of North Carolina at Chapel Hill (US)
  • University of Pittsburgh (US)
  • Rush University Medical Center (US)
  • Brigham and Women's Hospital (US)
Corresponding author
Morrow, David A.
ORCID
Venue
Journal of the American College of Cardiology
Publisher
Elsevier BV
Published
2018-09
Volume
72
Issue
13
Pages
1532-1553
ISSN
0735-1097 (ISSN-L)
DOI
10.1016/j.jacc.2018.06.074
PMC
PMC11032173
OpenAlex
W2890571093
Cited by
271
References
5
Citations by year
2026: 51 · 2025: 56 · 2024: 44 · 2023: 27 · 2022: 26 · 2021: 35 · 2020: 17 · 2019: 15
FWCI
2.93
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of the American College of Cardiology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
NIH Clinical Center
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Respiratory Support and Mechanisms
  • Physical Sciences › Engineering › Biomedical Engineering › Mechanical Circulatory Support Devices
  • Health Sciences › Medicine › Surgery › Hemodynamic Monitoring and Therapy
Keywords
positive pressure ventilation, cardiac intensive care, cardiogenic pulmonary edema, cardiogenic shock, cardiac arrest, mechanical circulatory support, non-invasive ventilation, invasive mechanical ventilation, cardiorespiratory interaction
MeSH terms
Algorithms, Hypoxia, Cardiac Output, Coronary Care Units, Coronary Circulation, Heart Failure, Hemodynamics, Humans, Positive-Pressure Respiration, Respiration, Shock, Cardiogenic, Ventilator Weaning, Ventricular Function

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

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