Changes in breathing pattern and respiratory muscle performance parameters during difficult weaning

Critical Care Medicine

Volumn 26, Issue 1, 1998, Pages 79-87

  Capdevila, Xavier ^a,b   Perrigault, Pierre François ^a   Ramonatxo, Michèle ^a   Roustan, Jean Paul ^a   Peray, Pascale ^a   D'Athis, Françoise ^a   Prefaut, Christian ^a  

^a MONTPELLIER UNIVERSITY HOSPITAL   (France)

^b LAPEYRONIE HOSPITAL   (France)

Author keywords

Breathing pattern; Difficult weaning; Mechanical ventilation; Noninvasive methodology; Respiratory load; Respiratory muscle performance; Tension time index

Indexed keywords

ACUTE RESPIRATORY FAILURE; ADULT; ARTICLE; ARTIFICIAL VENTILATION; BREATHING MUSCLE; BREATHING PATTERN; CLINICAL ARTICLE; FEMALE; HUMAN; INTENSIVE CARE UNIT; LUNG FUNCTION TEST; MALE; MUSCLE FUNCTION; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROSPECTIVE STUDY; TRACHEA PRESSURE; TREATMENT FAILURE; UNIVERSITY HOSPITAL;

AGED; FEMALE; HUMANS; INTENSIVE CARE UNITS; MALE; MUSCLE FATIGUE; PROSPECTIVE STUDIES; RESPIRATION; RESPIRATION, ARTIFICIAL; RESPIRATORY INSUFFICIENCY; RESPIRATORY MUSCLES; VENTILATOR WEANING;

EID: 0031975631     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/00003246-199801000-00020     Document Type: Article

References (14)

1. Brochard L, Rauss A, Benito S, et al: Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 1994; 150:896-903
2. Cohen CA, Zagelbaum C, Gross D, et al: Clinical manifestations of inspiratory muscle fatigue. Am J Med 1982; 73:308-316
3. Murciano D, Boczkowski J, Legocguic Y, et al: 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
4. Pourriat J-L, Lamberto CH, Hoang PH, et al: Diaphragmatic fatigue and breathing pattern during weaning from mechanical ventilation in COPD patients. Chest 1986; 90:703-707
5. Brochard L, Harf A, Lorino H, et al: Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 1989; 139:513-521
6. Tobin MJ, Perez W, 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
7. Tobin M, Perez W, Guenther SM, et al: Does rib cage-abdominal paradox signify respiratory muscle fatigue? J Appl Physiol 1987; 63:851-860
8. Yang K, Tobin MJ: A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 1991; 324:1445-1450
9. Gross D, Grassino A, Ross W, et al: Electromyogram pattern of diaphragmatic fatigue. J Appl Physiol 1979; 46:1-7
10. Bellemare F, Grassino A: Effect of pressure and timing of contraction on human diaphragm fatigue. J Appl Physiol 1982; 53:1190-1195
11. Bellemare F, Grassino A: Force reserve of the diaphragm in patients with chronic obstructive pulmonary disease. J Appl Physiol 1983; 55:8-15
12. Wright PE, Marini JJ, Bernard CR: In vitro versus in vivo comparison of endotracheal tube airflow resistance. Am Rev Respir Dis 1989; 140:10-16
13. Hershenson MB, Kikuchi Y, Tzelepis GE, et al: Preferential fatigue of the rib cage muscles during inspiratory resistive loaded ventilation. J Appl Physiol 1989; 66:750-754
14. Zocchi L, Fitting JW, Majani U, et al: Effect of pressure and timing of contraction on human rib cage muscle fatigue. Am Rev Respir Dis 1993; 147:857-864