Role of brainstem centers in cardiorespiratory phase difference during mechanical ventilation

Andry Van De Louw, Claire Médigue, Yves Papelier, Morgan Landrain, François Cottin

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

During mechanical ventilation, large inter-patient and intra-patient variations of the phase of respiratory sinus arrhythmia (RSA) were described. To determine whether these variations were neurally mediated, we compared the RSA phase between: (1) 12 control subjects, (2) 23 mechanically ventilated patients without brain injury (MV group) and (3) 12 brain dead, mechanically ventilated patients, whose central nervous functions were abolished (BD group). ECG and ventilatory flow were recorded during 15 min and the RSA phase was then continuously computed by complex demodulation. Control group exhibited RSA phases between 180° and 250° whereas an opposite pattern, between 0° and 90°, was observed in the BD group. For the two groups, the phase was stable over time. In the MV group, the RSA phases were distributed between 0° and 260°, with a greater variability over time than the other groups. Therefore, during mechanical ventilation, brainstem centers may induce large variations of the RSA phase, not synchronous with the mechanical effect of ventilation.

Original languageEnglish (US)
Pages (from-to)119-127
Number of pages9
JournalRespiratory Physiology and Neurobiology
Volume174
Issue number1-2
DOIs
StatePublished - Nov 30 2010

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Artificial Respiration
Brain Stem
Brain Death
Brain Injuries
Respiratory Sinus Arrhythmia
Electrocardiography
Control Groups

All Science Journal Classification (ASJC) codes

  • Neuroscience(all)
  • Physiology
  • Pulmonary and Respiratory Medicine

Cite this

Van De Louw, Andry ; Médigue, Claire ; Papelier, Yves ; Landrain, Morgan ; Cottin, François. / Role of brainstem centers in cardiorespiratory phase difference during mechanical ventilation. In: Respiratory Physiology and Neurobiology. 2010 ; Vol. 174, No. 1-2. pp. 119-127.
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Role of brainstem centers in cardiorespiratory phase difference during mechanical ventilation. / Van De Louw, Andry; Médigue, Claire; Papelier, Yves; Landrain, Morgan; Cottin, François.

In: Respiratory Physiology and Neurobiology, Vol. 174, No. 1-2, 30.11.2010, p. 119-127.

Research output: Contribution to journalReview article

TY - JOUR

T1 - Role of brainstem centers in cardiorespiratory phase difference during mechanical ventilation

AU - Van De Louw, Andry

AU - Médigue, Claire

AU - Papelier, Yves

AU - Landrain, Morgan

AU - Cottin, François

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N2 - During mechanical ventilation, large inter-patient and intra-patient variations of the phase of respiratory sinus arrhythmia (RSA) were described. To determine whether these variations were neurally mediated, we compared the RSA phase between: (1) 12 control subjects, (2) 23 mechanically ventilated patients without brain injury (MV group) and (3) 12 brain dead, mechanically ventilated patients, whose central nervous functions were abolished (BD group). ECG and ventilatory flow were recorded during 15 min and the RSA phase was then continuously computed by complex demodulation. Control group exhibited RSA phases between 180° and 250° whereas an opposite pattern, between 0° and 90°, was observed in the BD group. For the two groups, the phase was stable over time. In the MV group, the RSA phases were distributed between 0° and 260°, with a greater variability over time than the other groups. Therefore, during mechanical ventilation, brainstem centers may induce large variations of the RSA phase, not synchronous with the mechanical effect of ventilation.

AB - During mechanical ventilation, large inter-patient and intra-patient variations of the phase of respiratory sinus arrhythmia (RSA) were described. To determine whether these variations were neurally mediated, we compared the RSA phase between: (1) 12 control subjects, (2) 23 mechanically ventilated patients without brain injury (MV group) and (3) 12 brain dead, mechanically ventilated patients, whose central nervous functions were abolished (BD group). ECG and ventilatory flow were recorded during 15 min and the RSA phase was then continuously computed by complex demodulation. Control group exhibited RSA phases between 180° and 250° whereas an opposite pattern, between 0° and 90°, was observed in the BD group. For the two groups, the phase was stable over time. In the MV group, the RSA phases were distributed between 0° and 260°, with a greater variability over time than the other groups. Therefore, during mechanical ventilation, brainstem centers may induce large variations of the RSA phase, not synchronous with the mechanical effect of ventilation.

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