Low measured auto-positive end-expiratory pressure during mechanical ventilation of patients with severe asthma: Hidden auto-positive end-expiratory pressure

Critical Care Medicine

Volumn 24, Issue 3, 1996, Pages 541-546

  Leatherman, James W ^a,b   Ravenscraft, Sue A ^a  

^a UNIVERSITY OF MINNESOTA MEDICAL SCHOOL   (United States)

^b HENNEPIN COUNTY MEDICAL CENTER   (United States)

Author keywords

Airway pressure; Alveoli; Asthma; Intermittent positive pressure ventilation; Lung compliance; Lungs; Positive end expiratory pressure; Pulmonary emergencies; Ventilators, mechanical

Indexed keywords

ADULT; AIRWAY PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; ASTHMA; BREATHING RATE; CLINICAL ARTICLE; HUMAN; INTENSIVE CARE UNIT; LUNG COMPLIANCE; LUNG INFLATION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; TIDAL VOLUME;

ACUTE DISEASE; ADULT; ASTHMA; HUMANS; POSITIVE-PRESSURE RESPIRATION, INTRINSIC; PROSPECTIVE STUDIES; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; TIME FACTORS;

EID: 0029872446     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199603000-00028     Document Type: Article

References (23)

1. Benson MS, Pierson DJ: Auto-PEEP during mechanical ventilation of adults. Respir Care 1988; 33:557-568
2. Broseghini C, Brandolese R, Poggi R, et al: Respiratory mechanics during the first day of mechanical ventilation in patients with pulmonary edema and chronic airway obstruction. Am Rev Respir Dis 1988; 138:355-361
3. Rossi A, Ranieri MV: Positive end-expiratory pressure. In: Principles and Practice of Mechanical Ventilation. Tobin MJ (Ed). New York, McGraw-Hill, 1994, pp 288-289
4. Pepe PE, Marini JJ: Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction. Am Rev Respir Dis 1982; 126:166-170
5. Hubmayr RD, Gay PC, Tayyab M: Respiratory system mechanics in ventilated patients: Techniques and indications. Mayo Clin Proc 1987; 62:358-368
6. Briscoe WA, McLemore GA: Ventilatory function in bronchial asthma. Thorax 1952; 7:66-77
7. Hogg JC: Pathology of asthma. J Allergy Clin Immunol 1993; 92:1-5
8. Woolcock AJ, Read J: Lung volumes in exacerbations of asthma. Am J Med 1966; 41:259-273
9. Woolcock AJ, Rebuck AS, Cade JF, et al: Lung volume changes in asthma measured concurrently by two methods. Am Rev Respir Dis 1971; 104: 703-709
10. Tuxen DV, Williams TJ, Scheinkestel CD, et al: Use of a measurement of pulmonary hyperinflation to control the level of mechanical ventilation in patients with acute severe asthma. Am Rev Respir Dis 1992; 146:1136-1142
11. Behrakis PK, Higgs BD, Baydur A, et al: Respiratory mechanics during halothane anesthesia and anesthesia-paralysis in humans. J Appl Physiol 1983; 55:1085-1092
12. D'Angelo E, Calderini E, Torri G, et al: Respiratory mechanics in anesthetized paralyzed humans: Effects of flow, volume, and time. J Appl Physiol 1989; 67: 2556-2564
13. Tuxen DV, Lane S: The effects of ventilatory pattern on hyperinflation, airway pressures, and circulation in mechanical ventilation of patients with severe airflow obstruction. Am Rev Respir Dis 1987; 136:872-879
14. Slutsky AS: Mechanical ventilation. ACCP Consensus Conference. Chest 1993; 104:1833-1857
15. Grootendorst AF, Lugtigheid G, van der Weygert EJ: Error in ventilator measurement of intrinsic PEEP: Cause and remedy. Respir Care 1993; 38:348-350
16. Rahn H, Otis AB, Chadwick LE, et al: The pressure-volume diagram of the thorax and lung. Am J Physiol 1946; 146: 161-178
17. Rossi A, Gottfried SB, Zocchi L, et al: Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation: The effect of intrinsic positive end-expiratory pressure. Am Rev Respir Dis 1985; 131:672-677
18. Macklem PT: Airway obstruction and collateral ventilation. Physiol Rev 1971: 51:368-436
19. Greaves IA, Hildebrandt J, Hoppin FG Jr: Micromechanics of the lung. In: The Handbook of Physiology. Section 3: The Respiratory System. Baltimore, Waverly Press, 1986, pp 217-231
20. Macklem PT: The stability of peripheral airways. Respir Physiol 1970: 8: 191-203
21. James AL, Pare PD, Hogg JC: The mechanics of airway narrowing in asthma. Am Rev Respir Dis 1989; 139:242-246
22. Dunnill MS: The pathology of asthma, with special reference to changes in the bronchial mucosa. J Clin Pathol 1960; 13:27-33
23. Williams TJ, Tuxen DV, Scheinkestel CD, et al: Risk factors for morbidity in mechanically ventilated patients with acute severe asthma. Am Rev Respir Dis 1992; 146:607-615