Proportional assist ventilation in acute respiratory failure: Effects on breathing pattern and inspiratory effort

American Journal of Respiratory and Critical Care Medicine

Volumn 154, Issue 5, 1996, Pages 1330-1338

  Navalesi, Paolo ^b   Hernandez, Paul ^b   Wongsa, Adisorn ^b   Laporta, Denny ^b   Goldberg, Peter ^b   Gottfried, Stewart B ^a  

^a MONTREAL GENERAL HOSPITAL   (Canada)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE RESPIRATORY FAILURE; ADULT; AGED; ARTICLE; ASSISTED VENTILATION; BREATHING PATTERN; BREATHING RATE; CLINICAL ARTICLE; FEMALE; HUMAN; LUNG COMPLIANCE; LUNG MINUTE VOLUME; LUNG RESISTANCE; MALE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE VOLUME CURVE; PRIORITY JOURNAL; RESPIRATORY SYSTEM; TIDAL VOLUME;

EID: 0029798962     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.154.5.8912744     Document Type: Article

References (35)

1. Younes, M. 1992. Proportional assist ventilation, a new approach to ventilatory support. Theory. Am. Rev. Respir. Dis. 145:114-120.
2. Younes, M., A. Puddy, D. Roberts, R. B. Light, A. Queseda, K. Taylor, L. Oppenheimer, and H. Cramp. 1992. Proportional assist ventilation. Results of an initial clinical trial. Am. Rev. Respir. Dis. 145:121-129.
3. Younes, M. 1994. Proportional assist ventilation. In M. J. Tobin, editor. Principles and Practice of Mechanical Ventilation. McGraw-Hill, New York, 349-369.
4. Younes, M. 1993. Patient-ventilator interaction with pressure assisted modalities of ventilatory support. Semin. Respir. Med. 14:299-322.
5. Younes, M. 1991. Proportional assist ventilation and pressure support ventilation. In J. J. Marini and C. Roussos, editors. Update in Intensive Care and Emergency Medicine. Volume 15: Ventilatory Failure. Springer-Verlag, Berlin. 361-380.
6. Petrof, B. J., M. Légaré, P. Goldberg, J. Milic Emili, and S. B. Gottfried. 1990. Continuous positive airway pressure reduces work of breathing and dyspnea during weaning from mechanical ventilation in severe chronic obstructive pulmonary disease. Am. Rev. Respir. Dis. 141:281-289.
7. Baydur, A., P. K. Behrakis, W. A. Zin, M. J. Jaeger, and J. Milic Emili. 1982. A simple method for assessing the validity of the esophageal balloon technique. Am. Rev. Respir. Dis. 126:788-791.
8. Navalesi, P., P. Hernandez, D. Laporta, J. Landry, F. Maltais, D. Navajas, and S. B. Gottfried. 1994. Influence of site of tracheal pressure measurement on in situ estimation of endotracheal tube resistance. J. Appl. Physiol. 77:2899-2906.
9. Maltais, F., H. Reissmann, and S. B. Gottfried. 1995. Pressure support reduces inspiratory effort and dyspnea during exercise in chronic airflow obstruction. Am. J. Respir. Crit. Care Med. 151:1027-1033.
10. Rossi, A., S. B. Gottfried, B. D. Higgs, L. Zocchi, A. Grassino, and J. Milic Emili. 1985. Respiratory mechanics in mechanically ventilated patients with respiratory failure. J. Appl. Physiol. 58:1849-1858.
11. Sassoon, C. S., R. W. Light, R. Lodia, G. C. Sieck, and C. K. Mahutte. 1991. Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-piece during weaning from mechanical ventilation. Am. Rev. Respir. Dis. 143:469-475.
12. Estenne, M., J. C. Yernault, and A. De Troyer. 1985. Rib cage and diaphragm-abdomen compliance in humans: effects of age and posture. J. Appl. Physiol. 59:1842-1848.
13. Fleury, B., D. Murciano, C. Talamo, M. Aubier, R. Pariente, and J. Milic Emili. 1985. Work of breathing in patients with obstructive pulmonary disease in acute respiratory failure. Am. Rev. Respir. Dis. 131:822-827.
14. Brochard, L., A. Harf, H. Lorino, and F. Lemaire. 1989. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am. Rev. Respir. Dis. 139:513-521.
15. Appendini, L., A. Patessio, S. Zanaboni, M. Carone, B. Gukov, C. F. Donner, and A. Rossi. 1994. Physiologic effects of positive end-expiratory pressure and mask pressure support during exacerbations of chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 149:1069-1076.
16. Lessard, M. R., F. Lofaso, and L. Brochard. 1995. Expiratory muscle activity increases intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am. J. Respir. Crit. Care Med. 151:562-569.
17. Banner, M. J., M. J. Jaeger, and R. R. Kirby. 1994. Components of the work of breathing and implications for monitoring ventilator-dependent patients. Crit. Care Med. 22:515-523.
18. Marini, J. J. 1991. Ventilatory management of COPD. In N. S. Cherniack, editor. Chronic Obstructive Pulmonary Disease. W. B. Saunders Company, Philadelphia. 495-519.
19. Younes, M. 1990. Load responses, dyspnea, and respiratory failure. Chest 97:59S-68S.
20. Wright, P. E., J. J. Marini, and G. R. Bernard. 1989. In vitro versus in vivo comparison of endotracheal tube airflow resistance. Am. Rev. Respir. Dis. 140:10-16.
21. Yang, K. L., and M. J. Tobin. 1991. A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N. Engl. J. Med. 324:1445-1450.
22. Marini, J. J., T. C. Smith, and V. J. Lamb. 1988. External work output and force generation during synchronized intermittent mechanical ventilation. Effect of machine assistance on breathing effort. Am. Rev. Respir. Dis. 138:1169-1179.
23. Cherniack, N. S., and M. D. Altose. 1981. Respiratory responses to ventilatory loading. In T. F. Hornbein, editor. Regulation of Breathing. Marcel Dekker, New York. 905-964.
24. Zin, W. A., and J. Milic-Emili. 1986. Breathing responses to imposed mechanical loads. In N. S. Cherniack and J. G. Widdicombe, editors. Handbook of Physiology, Section 3: The Respiratory System. Volume 2. Control of Breathing. American Physiological Society, Bethesda. 751-769.
25. Field, S., S. M. Kelly, and P. T. Macklem. 1982. The oxygen cost of breathing in patients with cardiorespiratory disease. Am. Rev. Respir. Dis. 126:9-13.
26. McGregor, M., and M. R. Becklake. 1961. The relationship of oxygen cost of breathing to respiratory mechanical work and respiratory force. J. Clin. Invest. 40:971-980.
27. Van de Graaff, W. B., K. Gordey, S. E. Dornseif, D. J. Dries, B. S. Kleinman, P. Kumar, and M. Mathru. 1991. Pressure support. Changes in ventilatory pattern and components of the work of breathing. Chest 100:1082-1089.
28. Marini, J. J., R. M. Rodriguez, and V. Lamb. 1986. The inspiratory workload of patient-initiated mechanical ventilation. Am. Rev. Respir. Dis. 134:902-909.
29. Coussa, M.-L., C. Guérin, N. T. Eissa, C. Corbeil, M. Chassé, J. Braidy, N. Matar, and J. Milic-Emili. 1993. Partitioning of work of breathing in mechanically ventilated COPD patients. J. Appl. Physiol. 75: 1711-1719.
30. Balsys, A. J., R. L. Jones, S. F. P. Man, and A. Wells. 1980. Effects of sighs and different tidal volumes on compliance, functional residual capacity and arterial oxygen tension in normal and hypoxemic dogs. Crit. Care Med. 8:641-645.
31. Barnas, G. M., D. N. Campbell, C. F. Mackenzie, J. E. Mendham, B. G. Fahy, C. J. Runcie, and G. E. Mendham. 1992. Lung, chest wall, and total respiratory system resistances and elastances in the normal range of breathing. Am. Rev. Respir. Dis. 145:110-113.
32. Reinoso, M. A., D. R. Gracey, and R. D. Hubmayr. 1993. Interrupter mechanics of patients admitted to a chronic ventilator dependency unit. Am. Rev. Respir. Dis. 148:127-131.
33. D'Angelo, E., E. Calderini, G. Torri, F. M. Robatto, D. Bono, and J. Milic-Emili. 1989. Respiratory mechanics in anesthetized paralyzed humans: effects of flow, volume, and time. J. Appl. Physiol. 67: 2556-2564.
34. Sly, P. D., J. H. Bates, T. Kochi, S. Okubo, and J. Milic-Emili. 1987. Frequency-dependent effects of hypercapnia on respiratory mechanics of cats. J. Appl. Physiol. 62:444-450.
35. Erice, F., G. S. Fox, Y. M. Salib, E. Romano, J. L. Meakins, and S. A. Magder. 1993. Diaphragmatic function before and after laparoscopic cholecystectomy. Anesthesiology 79:966-975.