Airway occlusion pressure at 0.1 s (P0.1) after extubation: An early indicator of postextubation hypercapnic respiratory insufficiency

Intensive Care Medicine

Volumn 24, Issue 12, 1998, Pages 1277-1282

  Hilbert, G ^a   Gruson, D ^a   Portel, L ^a   Vargas, F ^a   Gbikpi Benissan, G ^a   Cardinaud, J P ^a  

^a HÔPITAL PELLEGRIN   (France)

Author keywords

Airway occlusion pressure; Chronic obstructive pulmonary disease; Extubation; Non invasive ventilation; Respiratory insufficiency

Indexed keywords

ADULT; AGED; AIRWAY OBSTRUCTION; AIRWAY PRESSURE; ARTICLE; ARTIFICIAL VENTILATION; BLOOD CARBON DIOXIDE TENSION; BLOOD GAS ANALYSIS; BLOOD PH; BREATHING RATE; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; EXTUBATION; HUMAN; HYPERCAPNIA; INTENSIVE CARE; RESPIRATORY DISTRESS; RESPIRATORY DRIVE; RESPIRATORY FAILURE; TIDAL VOLUME;

EID: 0031696679     PISSN: 03424642     EISSN: None     Source Type: Journal    
DOI: 10.1007/s001340050762     Document Type: Article

References (28)

1. Pouriat JL, Lamberto C, Hoang PH, Fournier JL, Vasseur B (1986) Diaphragmatic fatigue and breathing pattern during weaning from mechanical ventilation in COPD patients. Chest 90: 703-707
2. Tobin MJ, Perez W, Guenther SM (1987) Does ribcage-abdominal paradox signify respiratory muscle fatigue? J Appl Physiol 63: 851-860
3. Conti G, De Blasi RA, Benito S, Rocco M, Antonelli M, Bufi M, Mattia C, Gasparetto A (1992) Early prediction of successful weaning during pressure support ventilation in COPD patients. Crit Care Med 20: 366-371
4. Pingleton s (1988) Complications of acute respiratory failure. Am Rev Respir Dis 137: 1463-1493
5. Fagon JY, Chastre J, Hance AJ, Montravers P, Novara A, Gibert C (1993) Nosocomial pneumonia in ventilated patients: a cohort study evaluating attributable mortality and hospital stay. Am J Med 94: 281-288
6. Nava S, Rubini F, Zanotti E, Ambrosino N, Bruschi C, Vilacca M, Fracchia C, Rampulla C (1994) Survival and prediction of successful ventilator weaning in COPD patients requiring mechanical ventilation for more than 21 days. Eur Respir J 7: 1645-1652
7. Meduri GU, Turner RE, Abou-Shala N, Wunderink R, Tolley E (1996) Noninvasive positive pressure ventilation via face mask. First-line intervention in patients with acute hypercapnic and hypoxemic respiratory failure. Chest 109: 179-193
8. Wysocki M, Trie L, Wolff MA, Millet H, Herman B (1995) Noninvasive pressure support ventilation in patients with acute respiratory failure. A randomized comparison with conventional therapy. Chest 107: 761-768
9. Hilbert G, Gruson D, Portel L, Gbikpi Benissan G, Cardinaud JP (1998) Noninvasive pressure support ventilation in COPD patients with postextubation hypercapnic respiratory insufficiency. Eur Respir J 11: 1349-1353
10. Yang KL, Tobin MJ (1991) A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 324: 1445-1450
11. Sassoon CSH, Te TT, Mahutte CK, Light RW (1987) Airway occlusion pressure: an important indicator for successful weaning in patients with chronic obstuctive pulmonary disease. Am Rev Respir Dis 135: 107-112
12. Sassoon CSH, Mahutte CK (1993) Airway occlusion pressure and breathing pattern as predictors of weaning outcome. Am Rev Respir Dis 148:860-866
13. Pepe PE, Marini JJ (1982) Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction. The auto-PEEP effect. Am Rev Respir Dis 126: 166-170
14. Rossi A, Polese G, Brandi G, Conti G (1995) Intrinsic positive end-expiratory pressure (PEEPi). Intensive Care Med 21: 522-536
15. Whitelaw WA, Derenne JP (1993) Airway occlusion pressure. J Appl Physiol 74: 1475-1483
16. Hilbert G, Gruson D, Gbikpi-Benissan G, Cardinaud JP (1997) Sequential use of noninvasive pressure support ventilation for acute exacerbations of COPD. Intensive Care Med 23: 955-961
17. Legall JR, Lemeshow S, Saulnier F (1993) New Simplified Acute Physiology Score (SAPS II) based on a European / North American Multicenter Study. JAMA 270: 2957-2963
18. Murciano D, Boczkowski J, Lecocguic Y, Milie-Emili J, Pariente R, Aubier M (1988) 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 108: 800-805
19. Murciano D, Aubier M, Bussi S, Derenne JP, Pariente R, Milic-Emili J (1982) Comparison of oesophageal, tracheal and mouth occlusion pressure in patients with chronic obstructive pulmonary disease during acute respiratory failure. Am Rev Respir Dis 126: 837-841
20. Lee KH, Hui KP, Chan TB, Tan WC, Lim TK (1994) Rapid shallow breathing (frequency-tidal volume ratio) did not predict extubation outcome. Chest 105: 540-543
21. Banner MJ, Kirby RR, Kirton OC, DeHaven CB, Blanch PB (1995) Breathing frequency and pattern are poor predictors of work of breathing in patients receiving pressure support ventilation. Chest 108: 1338-1344
22. Leitch EA, Moran JL, Grealy B (1996) Weaning and extubation in the intensive care unit. Clinical or index-driven approach? Intensive Care Med 22: 752-759
23. Mohsenifar Z, Hay A, Hay J, Lewis MI, Koernec SK (1993) Gastric intramural pH as a predictor of success or failure in weaning patients from mechanical ventilation. Ann Intern Med 119: 794-798
24. Fernandez R, Benito S, Sanchis J, Milic-Emili J, Net A (1988) Inspiratory effort and occlusion pressure in triggered mechanical ventilation. Intensive Care Med 14: 650-653
25. Conti G, Cinnella G, Barboni E, Lemaire F, Harf A, Brochard L (1996) Estimation of occlusion pressure during assisted ventilation in patients with intrinsic PEEP. Am J Respir Crit Care Med 154: 907-912
26. Kuhlen R, Hausmann, Pappert D, Slama K, Rossaint R, Falke K (1995) A new method for P0.1 measurement using standard respiratory equipment. Intensive Care Med 21: 554-560
27. Derenne JP (1995) P0.1 - about the relevance of 100 milliseconds. Intensive Care Med 21: 545-546
28. Elderidge FL, Vaughn KZ (1977) Relationship of thoracic volume and airway occlusion pressure: muscular effects. J Appl Physiol 43: 312-321