A single computer-controlled mechanical insufflation allows determination of the pressure-volume relationship of the respiratory system

Journal of Clinical Monitoring and Computing

Volumn 15, Issue 1, 1999, Pages 9-16

  Svantesson, Cecilia ^a   Drefeldt, Björn ^a   Sigurdsson, Sigurdur ^a   Larsson, Anders ^a   Brochard, Laurent ^b   Jonson, Björn ^a  

^a LUND UNIVERSITY HOSPITAL   (Sweden)

^b HENRI MONDOR HOSPITAL   (France)

Author keywords

Compliance; Human; Lung; Mechanical ventilation; Mechanics; Resistance

Indexed keywords

COMPUTER CONTROL; FLOW MEASUREMENT; MATHEMATICAL MODELS; PRESSURE DROP; PRESSURE MEASUREMENT; RESPIRATORY MECHANICS; SERVOMECHANISMS;

INSUFFLATION; PRESSURE VOLUME RELATIONSHIP; RESPIRATORY SYSTEM; SERVO VENTILATOR;

COMPUTER AIDED DIAGNOSIS;

ADULT; ARTICLE; ARTIFICIAL VENTILATION; BREATHING MECHANICS; CLINICAL ARTICLE; COMPUTER; CONTROLLED STUDY; FEMALE; HUMAN; HUMAN EXPERIMENT; LUNG COMPLIANCE; MALE; MATHEMATICAL ANALYSIS; NORMAL HUMAN; PRESSURE VOLUME CURVE; PRIORITY JOURNAL; REPRODUCIBILITY; RESPIRATORY SYSTEM; TRACHEA PRESSURE; VENTILATOR; AIRWAY RESISTANCE; LUNG VENTILATION; MIDDLE AGED; PHYSIOLOGY; POSITIVE END EXPIRATORY PRESSURE; PRESSURE; PRESSURE TRANSDUCER; SIGNAL PROCESSING; TRACHEA;

ADULT; AIRWAY RESISTANCE; FEMALE; HUMANS; LUNG COMPLIANCE; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; PRESSURE; PULMONARY VENTILATION; REPRODUCIBILITY OF RESULTS; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; SIGNAL PROCESSING, COMPUTER-ASSISTED; TRACHEA; TRANSDUCERS, PRESSURE; VENTILATORS, MECHANICAL;

EID: 0032900036     PISSN: 13871307     EISSN: None     Source Type: Journal    
DOI: 10.1023/A:1009916905078     Document Type: Article

References (18)

1. Amato MB, Barbas CS, Medeiros DM, Magaldi RB, Schettino GP, Lorenzi-Filho G et al. Effect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998; 338: 347-354
2. Matamis D, Lemaire F, Harf A, Brun-Buisson C, Ansquer JC, Atlan G. Total respiratory pressure-volume curves in the adult respiratory distress syndrome. Chest 1984; 86: 58-66
3. Levy P, Similowski T, Corbeil C, Albala M, Pariente R, Milic-Emili J et al. A method for studying the static volume-pressure curves of the respiratory system during mechanical ventilation. J Crit Care 1989; 4: 83-89
4. Mankikian B, Lemaire F, Benito S, Brun-Buisson C, Harf A, Maillot JP et al. A new device for measurement of pulmonary pressure-volume curves in patients on mechanical ventilation. Crit Care Med 1983; 11: 897-901
5. Suratt PM, Owens D. A pulse method of measuring respiratory system compliance in ventilated patients. Chest 1981; 80: 34-38
6. Ranieri VM, Giuliani R, Fiore T, Dambrosio M, Milic-Emili J. Volume-pressure curve of the respiratory system predicts effects of PEEP in ARDS: "occlusion" versus "constant flow" technique. Am J Respir Crit Care Med 1994; 149: 19-27
7. Servillo G, Svantesson C, Beydon L, Roupie E, Brochard L, Lemaire F et al. Pressure-volume curves in acute respiratory failure. Automated low flow inflation versus occlusion. Am J Respir Crit Care Med 1997; 155: 1629-1636
8. Varène P, Jacquemin C. Airways resistance: A new method of computation. In: Bouhuys A, ed., Airway dynamics: Physiology and pharmacology. Springfield, IL: Charles C. Thomas, 1970: 99-108
9. Rothen HU, Sporre B, Engberg G, Wegenius G, Hedenstierna G. Re-expansion of atelectasis during general anaesthesia: A computed tomography study. Br J Anaesth 1993; 71: 788-795
10. Svantesson C, Drefeldt B, Jonson B. The static pressure-volume relationship of the respiratory system determined with a computer-controlled ventilator. Clin Physiol 1997; 17: 419-430
11. Svantesson C, Sigurdsson S, Larsson A, Jonson B. Effects of recruitment of collapsed lung units on the elastic pressure-volume relationship in anaesthetised healthy adults. Acta Anaesthesiol Scand 1998; 42: 1149-1156
12. Jonson B, Beydon L, Brauer K, Månsson C, Valind S, Grytzell H. Mechanics of respiratory system in healthy anesthetized humans with emphasis on viscoelastic properties. J Appl Physiol 1993; 75: 132-140
13. Conti G, De Blasi RA, Lappa A, Ferretti A, Antonelli M, Bufi M et al. Evaluation of respiratory system resistance in mechanically ventilated patients: The role of the endotracheal tube. Intensive Care Med 1994; 20: 421-424
14. Venegas JG, Harris RS, Simon BA. A comprehensive equation for the pulmonary pressure-volume curve. J Appl Physiol 1998; 84: 389-395
15. Jonson B, Svantesson C. Elastic pressure-volume curves: What information do they convey? Thorax 1998; in press
16. Hickling KG. The pressure-volume curve is greatly modified by recruitment. A mathematical model of ARDS lungs. Am J Respir Crit Care Med 1998; 158: 194-202
17. Roupie E, Dambrosio M, Servillo G, Mentec H, El Atrous S, Beydon L et al. Titration of tidal volume and induced hypercapnia in acute respiratory distress syndrome. Am J Respir Crit Care Med 1995; 152: 121-128
18. Peslin R, Felicio da Silva J, Duvivier C, Chabot F. Respiratory mechanics studied by forced oscillations during artificial ventilation. Eur Respir J 1993; 6: 772-784