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Cardiopulmonary Interactions

Bronicki, Ronald A. MD, FCCM, FACC1; Penny, Daniel J. MD, PhD2; Anas, Nick G. MD3; Fuhrman, Bradley MD4

Pediatric Critical Care Medicine: August 2016 - Volume 17 - Issue 8 - p S182-S193
doi: 10.1097/PCC.0000000000000829
Organ Systems: Cardiopathophysiology and Disorders

Objectives: The objectives of this review are to discuss the mechanisms by which respiration impacts cardiovascular function and vice versa, with an emphasis on the impact of these interactions in pediatric cardiac critical care.

Data source: A search of MEDLINE was conducted using PubMed.

Conclusions: In the presence of underlying cardiac and respiratory disease, the interplay between these two systems is significant and plays a pivotal role in the pathophysiology of acute and chronic phases of a wide spectrum of diseases. An understanding of these relationships is essential to optimizing the care of critically ill patients.

1Department of Pediatrics, Section of Critical Care Medicine and Cardiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX.

2Department of Pediatrics, Section of Cardiology, Baylor College of Medicine, Texas Children’s Hospital, Houston, TX.

3Department of Pediatrics, Section of Critical Care Medicine, David Geffen School of Medicine at the University of California Los Angeles, Children’s Hospital of Orange County, Orange, CA.

4Department of Pediatrics, Texas Tech Paul L Foster School of Medicine, El Paso Children’s Hospital, El Paso, TX.

Dr. Fuhrman disclosed other support (Equity ownership, Medical Conservation Devices, LLC. No payments. Chief Medical Officer and Founding Member of Board) and received funding from Cook Royalty. The remaining authors have disclosed that they do not have any potential conflicts of interest.

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Copyright © 2016 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies