Comparison of pressure- and flow-triggered pressure-support ventilation on weaning parameters in patients recovering from acute respiratory failure

Critical Care Medicine

Volumn 25, Issue 5, 1997, Pages 756-760

  Tütüncü, Ahmet S ^a,b   Çakar, Nahit ^a   Çamci, Emre ^a   Esen, Figen ^a   Telci, Lütfi ^a   Akpir, Kutay ^a  

^a ISTANBUL UNIVERSITY   (Turkey)

^b Alliance Pharmaceutical Corporation   (United States)

Author keywords

Acute respiratory failure; Gas exchange; Mechanical ventilation; Mechanical ventilator; Pressure support ventilation; Respiratory mechanics; Ventilator weaning; Work of breathing

Indexed keywords

ACUTE RESPIRATORY FAILURE; ADULT; AIRWAY PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; BREATHING MECHANICS; CLINICAL ARTICLE; CLINICAL PROTOCOL; CLINICAL TRIAL; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; HEMODYNAMICS; HUMAN; INTERMETHOD COMPARISON; LUNG FUNCTION TEST; LUNG GAS EXCHANGE; POSITIVE END EXPIRATORY PRESSURE; PRESSURE VOLUME CURVE; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; RESPIRATORY AIRFLOW; VENTILATOR; WEANING;

ADULT; APACHE; HEMODYNAMIC PROCESSES; HUMANS; INTENSIVE CARE UNITS; MIDDLE AGED; PULMONARY GAS EXCHANGE; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; VENTILATOR WEANING; WORK OF BREATHING;

EID: 0030925973     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199705000-00008     Document Type: Article

References (25)

1. Sassoon CSH, Lodia R, Rheeman CH, et al: Inspiratory muscle work of breathing during flow-by, demand-flow and continuous flow systems in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1992; 145: 1219-1222
2. Sassoon CSH, Giron AE, Ely E, et al: Inspiratory work of breathing on flow-by and demand flow continuous positive airway pressure. Crit Care Med 1989; 17:1108-1114
3. Polese G, Massara A, Poggi R, et al: Flow-triggering reduces inspiratory effort during weaning from mechanical ventilation. Intensive Care Med 1995; 21:682-686
4. Sassoon CSH, Del Rosario N, Fei R, et al: Influence of pressure- and flow-triggered synchronous intermittent mandatory ventilation on inspiratory muscle work. Crit Care Med 1994; 22:1933-1941
5. Giuliani R, Mascia L, Recchia F, et al: Patient-ventilator interaction during synchronized intermittent mandatory ventilation: Effects of flow triggering. Am J Respir Crit Care Med 1995; 151:1-9
6. Beydon L, Chasse M, Harf A, et al: Inspiratory work of breathing during spontaneous ventilation using demand valves and continuous flow systems. Am Rev Respir Dis 1988; 138:300-304
7. Marini JJ, Rodriguez RM, Lamb V: The inspiratory work load of patient-initiated mechanical ventilation. Am Rev Respir Dis 1986; 134:902-909
8. Banner MJ, Kirby RR, Blanch PB, et al: Decreasing imposed work of the breathing apparatus to zero using pressure-support ventilation. Crit Care Med 1993; 21:1333-1338
9. Fiastro JF, Habib MP, Quan SF: Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest 1988; 93:499-505
10. Baydur A, Behrakis PK, Zin WA, et al: A simple method for assessing the validity of the esophageal balloon technique. Am Rev Respir Dis 1982; 126:788-791
11. Petros AJ, Lamond CT, Bennett D: The Bicore pulmonary monitor; a device to assess the work of breathing while weaning from mechanical ventilation. Anaesthesia 1993; 48:985-988
12. Alberti A, Gallo F, Fongaro A, et al: P0.1 is a useful parameter in setting the level of pressure support ventilation. Intensive Care Med 1995; 21:547-553
13. Nathan SD, Ishaaya AM, Koerner SK, et al: Prediction of minimal pressure support during weaning from mechanical ventilation. Chest 1993; 103: 1215-1219
14. Banner MJ, Blanch PB, Kirby RR: Imposed work of breathing and methods of triggering a demand-flow, continuous positive airway pressure system. Crit Care Med 1993; 21:183-190
15. Jager K, Tweeddale M, Holland T: Flow-triggering does not decrease the work of breathing and pressure-time product in COPD patients. Respir Care 1994; 39:892-896
16. Marini JJ, Capps JS, Culver BH: The inspiratory work of breathing during mechanical ventilation. Chest 1985; 87:612-618
17. Bersten AD, Rutten AJ, Vedig AE, et al: Additional work of breathing imposed by endotracheal tubes, breathing circuits, and intensive care ventilators. Crit Care Med 1989; 17:671-677
18. Sassoon CSH, Light RW, Lodia R, et al: Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-piece during weaning from mechanical ventilation. Am Rev Respir Dis 1991; 143:469-475
19. Sassoon CSH, Gruer SE: Characteristics of the ventilator pressure- and flow-trigger variables. Intensive Care Med 1995; 21:159-168
20. Conti G, De Blasi R, Pelaia P, et al: Early prediction of successful weaning during pressure support ventilation in chronic obstructive pulmonary disease patients. Crit Care Med 1992; 20: 366-371
21. Sassoon CSH, Teresita TT, Mahutte CK, et al: Airway occlusion pressure: An important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1987; 135:107-113
22. Tobin M, Perez Y, Guenther SM, et al: The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 1986; 134:1111-1118
23. Rossi A, Brandolese R, Milic-Emili J, et al: The role of PEEP in patients with chronic obstructive pulmonary disease during assisted ventilation. Eur Respir J 1990; 3:818-822
24. Marini JJ: Should PEEP be used in airflow obstruction? Am Rev Respir Dis 1989; 140:1-3
25. Petrof BJ, Legare M, Goldberg P, et al: 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 1990; 141:281-289