Theoretical interactions between ventilator settings and proximal deadspace ventilation during tracheal gas insufflation

Intensive Care Medicine

Volumn 22, Issue 10, 1996, Pages 1112-1119

  Hotchkiss Jr , J R ^a   Crooke III, P S ^b   Marini, J J ^a  

^a UNIVERSITY OF MINNESOTA   (United States)

^b VANDERBILT UNIVERSITY   (United States)

Author keywords

Mathematical model; Tracheal gas insufflation

Indexed keywords

AERATION; ARTICLE; COMPARTMENT MODEL; ENDOTRACHEAL INTUBATION; EXPIRATORY FLOW RATE; LUNG VENTILATION; RESPIRATORY AIRFLOW; THEORY; VENTILATOR;

EID: 0029803072     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/BF01699238     Document Type: Article

References (17)

1. Dreyfuss D, Basset G, Soler P, Saumon G (1985) Intermittent positive-pressure hyperventilation with high inflation pressures produces pulmonary microvascular injury in rates. Am Rev Respir Dis 132:880-884
2. Kolobow T, Moretti MP, Fumagalli R, Mascheroni D, Prato P, Chen V, Joris M (1987) Severe impairment in lung function induced by high peak airway pressure during mechanical ventilation. Am Rev Respir Dis 135:312-315
3. Parker JC, Hernandez LA, Peevy KJ (1993) Mechanisms of ventilator-induced lung injury. Crit Care Med 21: 131-143
4. Bergofsky EH, Hurewitz AN (1989) Airway insufflation: physiologic effects on acute and chronic gas exchange in humans. Am Rev Respir Dis 140: 885-890
5. Hurewitz AN, Bergofsky EH, Vomero E (1991) Airway insufflation. Increasing flow rates progressively reduce deadspace in respiratory failure. Am Rev Respir Dis 144:1229-1233
6. Muller EE, Kolobow T, Mandava S, Jones M, Vitale G, Aprigliano M, Yamada K (1993) How to ventilate lungs as small as 12.5% of normal: the new technique of intratracheal pulmonary ventilation. Ped Res 34:606-610
7. 2 clearance during mechanical ventilation. Am Rev Respir Dis 148:345-351
8. Burke WC, Nahum A, Ravenscraft SA, Nakos G, Adams AB, Marcy TW, Marini JJ (1993) Modes of tracheal gas insufflation: comparison of continuous and phase-specific gas injection in normal dogs. Am Rev Respir Dis 148: 562-568
9. 2 removal during tracheal gas insufflation in dogs. J Appl Physiol 75:1238-1246
10. Ravenscraft SA, Shapiro R, Nahum A, Burke WC, Adams AB, Nakos G, Marini JJ (1996) Tracheal gas insufflation: catheter effectiveness is determined by expiratory flush volume. Am J Respir Crit Care Med 153:1817-1824
11. Chang HK (1984) Mechanisms of gas transport during ventilation by high-frequency oscillation. J Appl Physiol 56:553-563
12. Isabey D, Boussignac G, Harf A (1989) Effect of air entrainment on airway pressure during endotracheal gas injection. J Appl Physiol 67:771-779
13. Kamm RD, Bullister ET, Keramidas C (1986) The effect of a turbulent jet on gas transport during oscillatory flow. J Biomech Eng 108:266-272
14. Nahum A, Sznajder JI, Solway J, Wood LDH, Schumacker PT (1988) Pressure, flow, and density relationships in airway models during constant-flow ventilation. J Appl Physiol 64:2066-2073
15. Pedley TJ, Corieri P, Kamm RD, Grotberg JB, Hydon PE, Schroter RC (1994) Gas flow and mixing in the airways. Crit Care Med 22:24-36
16. Slutsky AS, Menon AS (1987) Catheter position and blood gases during constant flow ventilation. J Appl Physiol 62: 513-519
17. Shapiro RS, Ravenscraft SA, Nahum A, Adams AB, Marini JJ (1995) Tracheal gas insufflation (TGI) cools and dries gas in the central airways. Am J Respir Crit Care Med 151:A427 (Abstract)