Physiological effects of alveolar, tracheal, and 'standard' pressure supports

Journal of Applied Physiology

Volumn 87, Issue 1, 1999, Pages 428-437

  Diehl, Jean Luc ^a   Isabey, Daniel ^a   Desmarais, Gilbert ^b   Brochard, Laurent ^a   Harf, Alain ^a   Lofaso, Frédéric ^a,c  

^a HENRI MONDOR HOSPITAL   (France)

^b Ecl Sup d'Ing Electrotechnique E   (France)

^c RAYMOND POINCARÉ HOSPITAL   (France)

Author keywords

Control of breathing; Positive inspiratory pressure; Unloading

Indexed keywords

ADULT; ARTICLE; ARTIFICIAL VENTILATION; BREATHING PATTERN; CARBON DIOXIDE BREATHING; CONTROLLED STUDY; ESOPHAGUS PRESSURE; HUMAN; HUMAN EXPERIMENT; LUNG ALVEOLUS; LUNG MINUTE VOLUME; LUNG PRESSURE; LUNG VENTILATION; MALE; NORMAL HUMAN; PRIORITY JOURNAL; TRACHEA PRESSURE;

EID: 0032788955     PISSN: 87507587     EISSN: None     Source Type: Journal    
DOI: 10.1152/jappl.1999.87.1.428     Document Type: Article

References (30)

1. Akashi, M., K. Sakanaka, H. Noguchi, and Y. Takumi. Flow-regulated continuous positive airway pressure to minimize imposed work of breathing. Crit. Care Med. 18: 999-1002, 1990.
2. Azarian, R., F. Lofaso, F. Zerah, H. Lorino, G. Atlan, D. Isabey, and A. Harf. Assessment of respiratory compliance in awake subjects using pressure support. Eur. Respir. J. 6: 552-558, 1993.
3. Banner, M., P. Blanch, and R. Kirby. Imposed work of breathing and methods of triggering a demand-flow, continuous positive airway pressure system. Crit. Care Med. 21: 183-190, 1993.
4. Banner, M., R. Kirby, C. Usafr, and P. Blanch. Site of pressure measurement during spontaneous breathing with continuous positive airway pressure: effect of calculating imposed work of breathing. Crit. Care Med. 20: 528-533, 1992.
5. Baydur, A., P. K. Behrakis, W. A. Zin, M. Jaeger, and J. Milic-Emili. A simple method for assessing the validity of the esophageal balloon technique. Am. Rev. Respir. Dis. 126: 788-791, 1982.
6. Bonmarchand, G., V. Chevron, C. Chopin, D. Jusserand, C. Giraud, F. Moritz, J. Leroy, and P. Pasquis. Increased initial flow rate reduces inspiratory work of breathing during pressure support ventilation in patients with exacerbation of chronic obstructive pulmonary disease. Intensive Care Med. 22: 1147-1154, 1996.
7. Brochard, L. Non-invasive ventilation: practical issues. Intensive Care Med. 19: 431-432, 1993.
8. Brochard, L., A. Harf, H. Lorino, and F. Lemaire. Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am. Rev. Respir. Dis. 139: 513-521, 1989.
9. Brochard, L., J. Mancebo, M. Wysocki, F. Lofaso, G. Conti, A. Rauss, G. Simonneau, S. Benito, A. Gasparetto, F. Lemaire, D. Isabey, and A. Harf. Noninvasive ventilation for acute exacerbation of chronic obstructive pulmonary disease. N. Engl. J. Med. 333: 817-822, 1995.
10. Brochard, L., G. Pelle, J. de Palmas, P. Brochard, A. Carré, H. Lorino, and A. Harf. Density of frequency dependence of resistance in early airway obstruction. Am. Rev. Respir. Dis. 135: 579-584, 1987.
11. Dindeleux, D. Régulation des systèmes stables à retard pur important. Limite de la régulation PID. In: Technique de régulation industrielle D. Dindeleux. Paris: Eyrolles, 1981, p. 129-132.
12. Fabry, B., J. Guttmann, L. Eberhard, T. Bauer, C. Haberthür, and G. Wolff. An analysis of desynchronization between the spontaneously breathing patient and ventilator during inspiratory pressure support. Chest 107: 1387-1394, 1995.
13. Fabry, B., C. Haberthür, J. Guttmann, R. Kuhlen, and R. Stocker. Breathing pattern and additional work of breathing in patients with different ventilatory demands during inspiratory pressure support and automatic tube compensation. Intensive Care Med. 23: 547-552, 1997.
14. Fauroux, B., D. Isabey, G. Desmarais, L. Brochard, A. Harf, and F. Lofaso. Nonchemical influence of inspiratory pressure support on inspiratory activity in humans. J. Appl. Physiol. 85: 2169-2175, 1998.
15. Franklin, G., J. Powell, and A. Emami-Naeini. Feedback control of dynamic system. In: Feedback Control of Dynamic System. New York: Addison-Wesley, 1991, p. 448-449.
16. Fuleihan, S., R. Wilson, and H. Pontoppidan. Effect of mechanical ventilation with end-inspiratory pause on blood-gas exchange. Anesth. Analg. 55: 122-130, 1976.
17. Haake, R., R. Schlichtig, D. Ulstad, and R. Henschen. Barotrauma. Pathophysiology, risk factors and prevention. Chest 91: 608-613, 1987.
18. Heyer, L., H. Lorino, C. Delclaux, D. Isabey, A. Harf, and F. Lofaso. Carbon dioxide response during positive inspiratory pressure in COPD patients. Respir. Physiol. 109: 29-37, 1997.
19. Isabey, D., and A. Harf. Basic physical principles for ventilators and ventilatory modes. In: Acute Respiratory Failure in Chronic Obstructive Pulmonary Disease, edited by J. Derenne, W. Whitelaw, and T. Similowski. New York: Dekker, 1996, p. 685-708. (Lung Biol. Health Dis. Ser.)
20. Jubran, A., W. Van de Graaff, and M. Tobin. Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am. J. Respir. Crit. Care Med. 152: 129-136, 1995.
21. Kacmarek, R. The role of pressure support ventilation in reducing work of breathing. Respir. Care 33: 99-120, 1988.
22. Lessard, M., F. Lofaso, and L. Brochard. Expiratory muscle activity increase intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am. J. Respir. Crit. Care Med. 151: 562-569, 1995.
23. Lofaso, F., L. Brochard, T. Hang, H. Lorino, A. Harf, and D. Isabey. Home versus intensive-care pressure support devices, experimental and clinical comparison. Am. J. Respir. Crit. Care Med. 153: 1591-1599, 1996.
24. Lofaso, F., D. Isabey, A. Harf, and P. Scheid. Respiratory response to positive and negative inspiratory pressure in humans. Respir. Physiol. 89: 75-88, 1992.
25. Manthous, C., and G. Schmidt. Inverse ratio ventilation in ARDS improved oxygenation without autoPEEP. Chest 103: 953-954, 1993.
26. Mercat, A., L. Graini, J. Teboul, F. Lenique, and C. Richard. Cardiorespiratory effects of pressure controlled ventilation with and without inverse ratio in the adult respiratory distress syndrome. Chest 104: 871-875, 1993.
27. Pennock, B., L. Crawshaw, and P. Kaplan. Noninvasive nasal mask ventilation for acute respiratory failure. Chest 105: 441-444, 1994.
28. Sassoon, C., and S. Gruer. Characteristics of the ventilator pressure and flow-trigger variables. Intensive Care Med. 21: 159-168, 1995.
29. Sassoon, C., R. Light, R. Lodia, G. Sieck, and C. Mahutte. Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-piece during weaning from mechanical ventilation. Am. Rev. Respir. Dis. 143: 469-475, 1991.
30. 2 during positive inspiratory pressure in humans. J. Appl. Physiol. 77: 876-882, 1994.