Maximum rate of change in oesophageal pressure assessed from unoccluded breaths: An option where mouth occlusion pressure is impractical

European Respiratory Journal

Volumn 12, Issue 3, 1998, Pages 693-697

  Hamnegard C H ^a   Polkey, M I ^b   Kyroussis, D ^c   Mills, G H ^c   Green, M ^c   Bake, B ^a   Moxham, J ^b  

^a SAHLGRENSKA UNIVERSITY HOSPITAL   (Sweden)

^b KING'S COLLEGE LONDON   (United Kingdom)

^c ROYAL BROMPTON HOSPITAL   (United Kingdom)

Author keywords

Carbon dioxide rebreathing; Chronic obstructive pulmonary disease; Exercise; Mouth occlusion pressure; Oesophageal pressure; Respiratory drive

Indexed keywords

CARBON DIOXIDE;

ARTICLE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; ESOPHAGUS PRESSURE; HUMAN; HUMAN EXPERIMENT; MALE; MOUTH OCCLUSION PRESSURE; NORMAL HUMAN; PRIORITY JOURNAL; TECHNIQUE; THEORY; TREADMILL EXERCISE;

AGED; AIRWAY RESISTANCE; ESOPHAGUS; EXERCISE TEST; FORCED EXPIRATORY VOLUME; HUMANS; LUNG DISEASES, OBSTRUCTIVE; MALE; MIDDLE AGED; MOUTH; PRESSURE; REFERENCE VALUES; REGRESSION ANALYSIS; RESPIRATION; RESPIRATORY MECHANICS;

EID: 0031680633     PISSN: 09031936     EISSN: None     Source Type: Journal    
DOI: 10.1183/09031936.98.12030693     Document Type: Article

References (25)

1. 2 rebreathing in cats. J Appl Physiol 1976; 41: 536-543.
2. Whitelaw WA, Derenne JP, Milic-Emili J. Occlusion pressure as a measure of respiratory center output in conscious man. Respir Physiol 1975; 23: 181-199.
3. Whitelaw WA, Derenne JP. Airway occlusion pressure. J Appl Physiol 1993; 74: 1475-1483.
4. Sassoon CS, Te TT, Mahutte CK, Light RW. Airway occlusion pressure: an important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1987; 135: 107-113.
5. Murciano D, Boczkowski J, Lecocguic Y, Emili JM, Pariente R, Aubier M. Tracheal occlusion pressure: a simple index to monitor respiratory muscle fatigue during acute respiratory failure in patients with chronic obstructive pulmonary disease. Ann Intern Med 1988; 108: 800-805.
6. Conti G, Cinnella G, Barboni E, Lemaire F, Hart A, Brochard L. Estimation of occlusion pressure during assisted ventilation in patients with intrinsic PEEP. Am J Respir Crit Care Med 1996; 154: 907-912.
7. 2 rebreathing in chronic obstructive pulmonary disease. Am Rev Respir Dis 1978; 118: 1027-1033.
8. Elliott MW, Mulvey DA, Green M, Moxham J. An evaluation of P0.1 measured in mouth and oesophagus, during carbon dioxide rebreathing in COPD. Eur Respir J 1993; 6: 1055-1059.
9. Matthews AW, Howell JBL. Assessment of responsiveness to carbon dioxide in patients with chronic airways obstruction by rate of isometric inspiratory pressure development. Clin Sci 1976; 50: 199-205.
10. Yoshida A, Hayashi F, Sasaki K, Masuda Y, Honda Y. Analysis of pressure profile in the occluded airway obtained at the beginning of inspiration in steady state hypercapnia. Am Rev Respir Dis 1981; 124: 252-256.
11. Suero JT, Woolf CR. Alterations in mechanical properties of the lung during dyspnea in chronic obstructive pulmonary disease. J Clin Invest 1970; 49: 747-751.
12. Kyroussis D, Polkey MI, Keilty SEJ, et al. Exhaustive exercise slows inspiratory muscle relaxation rate in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1996; 153: 787-793.
13. Polkey MI, Kyroussis D, Keilty SEJ, et al. Exhaustive treadmill exercise does not reduce twitch transdiaphragmatic pressure in patients with COPD. Am J Respir Crit Care Med 1995; 152: 959-964.
14. Polkey MI, Kyroussis D, Mills GH, et al. Inspiratory pressure support reduces slowing of inspiratory muscle relaxation rate during exhaustive treadmill walking in severe COPD. Am J Respir Crit Care Med 1996; 154: 1146-1150.
15. Kyroussis D, Polkey MI, Hamnegård C-H, et al. Respiratory muscle recruitment in patients with COPD walking to exhaustion with and without pressure support. Am J Respir Crit Care Med 1996; 153: A789.
16. Baydur A, Pangiotis K, Behrakis K, Zin WA, Milic-Emili JA. A simple method of assessing the validity of the esophageal balloon technique. Am Rev Respir Dis 1982; 126: 788-791.
17. Hamnegård C-H. Assessment of diaphragm and fatigue by magnetic stimulation of the phrenic nerves, PhD Thesis, University of Göteborg, 1995.
18. Read D. A clinical method for assessing the ventilatory response to carbon dioxide. Aust Ann Med 1967; 16: 20-32.
19. Younes M, Riddle W, Polachek J. A model for the relation between respiratory neural and mechanical outputs. III. Validation. J Appl Physiol 1981; 51: 990-1001.
20. Younes M, Riddle W. A model for the relation between respiratory neural and mechanical outputs. I. Theory. J Appl Physiol 1981; 51: 963-978.
21. Riddle W, Younes M. A model for the relation between respiratory neural and mechanical outputs. II. Methods. J Appl Physiol 1981; 51: 979-989.
22. Jaeger MJ. Effect of the cheeks and the compliance of alveolar gas on the measurement of respiratory variables. Respir Physiol 1982; 47: 325-340.
23. Maltais F, Reissmann H, Gottfried SB. Pressure support reduces inspiratory effort and dyspnea during exercise in chronic airflow obstruction. Am J Respir Crit Care Med 1995; 151: 1027-1033.
24. Polkey MI, Kyroussis D, Easson C, et al. Noninvasive ventilation triggered from an oesophageal balloon. Am J Respir Crit Care Med 1996; 153: A609.
25. Potter WA, Olafsson S, Hyatt RE. Ventilatory mechanics and expiratory flow limitation during exercise in patients with obstructive lung disease. J Clin Invest 1971; 50: 910-919.