Estimating cardiac filling pressure in mechanically ventilated patients with hyperinflation

  title={Estimating cardiac filling pressure in mechanically ventilated patients with hyperinflation},
  author={Jean-Louis Teboul and Michael R. Pinsky and Alain Mercat and Nadia Anguel and Gilles Bernardin and Jean Michel Achard and Thierry Boulain and Christian Richard},
  journal={Critical Care Medicine},
ObjectiveWhen positive end-expiratory pressure (PEEP) is applied, the intracavitary left ventricular end-diastolic pressure (LVEDP) exceeds the LV filling pressure because pericardial pressure exceeds 0 at end-expiration. Under those conditions, the LV filling pressure is itself better reflected by the transmural LVEDP (tLVEDP) (LVEDP minus pericardial pressure). By extension, end-expiratory pulmonary artery occlusion pressure (eePAOP), as an estimate of end-expiratory LVEDP, overestimates LV… 

Update on Preload Indexes: More Volume than Pressure

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