Ventilator waveforms and the physiology of pressure support ventilation

Respiratory Care

Volumn 50, Issue 2, 2005, Pages 166-183

  Hess, Dean R ^a  

^a MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

Acute respiratory failure; Mechanical ventilation; Pressure support ventilation

Indexed keywords

AIRWAY PRESSURE; BREATHING MUSCLE; CONFERENCE PAPER; POSITIVE END EXPIRATORY PRESSURE; PRESSURE SUPPORT VENTILATION; TIDAL VOLUME; VENTILATOR; WAVEFORM; ASSISTED VENTILATION; BREATHING; CYCLING; ESOPHAGUS PRESSURE; RESPIRATION CONTROL; ADULT; ARTIFICIAL VENTILATION; BIOLOGICAL MODEL; BREATHING DISORDER; BREATHING MECHANICS; EQUIPMENT DESIGN; HUMAN; HYPERVENTILATION; INFORMATION PROCESSING; INSTRUMENTATION; METHODOLOGY; PATHOPHYSIOLOGY; REVIEW;

ADULT; DATA DISPLAY; EQUIPMENT DESIGN; HUMANS; HYPERVENTILATION; MODELS, BIOLOGICAL; RESPIRATION DISORDERS; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; VENTILATORS, MECHANICAL;

EID: 33846638758     PISSN: 00201324     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Conference Paper

References (51)

1. Esteban A, Anzueto A, Alía I, Gordo F, Apezteguía C, Pálizas F, et al. How is mechanical ventilation employed in the intensive care unit? An international utilization review. Am J Respir Crit Care Med 2000;161(5):1450-1458.
2. Esteban A, Anzueto A, Frutos F, Alía I, Brochard L, Stewart TE, et al; Mechanical Ventilation International Study Group. Characteristics and outcomes in adult patients receiving mechanical ventilation: a 28-day international study. JAMA 2002;287(3):345-355.
3. Sassoon CSH. Mechanical ventilator design and function: the trigger variable. Respir Care 1992;37(9):1056-1069.
4. Sassoon CSH, Gruer SE. Characteristics of the ventilator pressure- and flow-trigger variables. Intensive Care Med 1995;21(2):159-168.
5. Sassoon CSH, Lodia R, Rheeman CH, Kuei JH, Light RW, Mahutte CK. Inspiratory muscle work of breathing during flow-by, demand-flow, and continuous-flow systems in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 1992;145(5):1219-1222.
6. Sassoon CSH, Del Rosario N, Fei R, Rheeman CH, Gruer SE, Mahutte CK. Influence of pressure- and flow-triggered synchronous intermittent mandatory ventilation on inspiratory muscle work. Crit Care Med 1994;22(12):1933-1941.
7. Hess D, Branson RD. New modes of ventilation. In: Hill NS, Levy MM. Ventilator management strategies for critical care. New York: Marcel Dekker; 2001.
8. Tutuncu AS, Cakar N, Camci E, Esen F, Telci L, Akpir K. Comparison of pressure- and flow-triggered pressure-support ventilation on weaning parameters in patients recovering from acute respiratory failure. Crit Care Med 1997;25(5):756-760.
9. Goulet R, Hess D, Kacmarek RM. Pressure vs flow triggering during pressure support ventilation. Chest 1997;111(6):1649-1653.
10. Aslanian P, El Atrous S, Isabey D, Valente E, Corsi D, Harf A, et al. Effects of flow triggering on breathing effort during partial ventilatory support. Am J Respir Crit Care Med 1998;157(1):135-143.
11. Ranieri VM, Grasso S, Fiore T, Giuliani R. Auto-positive end-expiratory pressure and dynamic hyperinflation. Clin Chest Med 1996; 17(3):379-394.
12. MacIntyre NR, Cheng KC, McConnell R. Applied PEEP during pressure support reduces the inspiratory threshold load of intrinsic PEEP. Chest 1997;111(1):188-193.
13. Ranieri VM, Mascia L, Petruzzelli V, Bruno F, Brienza A, Giuliani R. Inspiratory effort and measurement of dynamic intrinsic PEEP in COPD patients: effects of ventilator triggering systems. Intensive Care Med 1995;21(11):896-903.
14. Giuliani R, Mascia L, Recchia F, Caracciolo A, Fiore T, Ranieri VM. Patient-ventilator interaction during synchronized intermittent mandatory ventilation: effects of flow triggering. Am J Respir Crit Care Med 1995;151(1):1-9.
15. Nava S, Ambrosino N, Bruschi C, Confalonieri M, Rampulla C. Physiological effects of flow and pressure triggering during non-invasive mechanical ventilation in patients with chronic obstructive pulmonary disease. Thorax 1997;52(3):249-254.
16. Fabry B, Guttman J, Eberhard L, Bauer T, Haberthur C, Wolff G. An analysis of desynchronization between the spontaneously breathing patient and ventilator during inspiratory pressure support. Chest 1995; 107(5):1387-1394.
17. Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M. Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 1997; 112(6):1592-1599.
18. Nava S, Bruschi C, Rubini F, Palo A, Iotti G, Braschi A. Respiratory response and inspiratory effort during pressure support ventilation in COPD patients. Intensive Care Med 1995;21(11):871-879.
19. Prinianakis G, Kondili E, Georgopoulos D. Effects of the flow waveform method of triggering and cycling on patient-ventilator interaction during pressure support. Intensive Care Med 2003;29(11):1950-1959.
20. Sinderby C, Navalesi P, Beck J, Skrobik Y, Comtois N, Friberg S, et al. Neural control of mechanical ventilation in respiratory failure. Nat Med 1999;5(12):1433-1436.
21. Imanaka H, Nishimura M, Takeuchi M, Kimball WR, Yahagi N, Kumon K. Autotriggering caused by cardiogenic oscillation during flow-triggered mechanical ventilation. Crit Care Med 2000;28(2): 402-407.
22. Parthasarathy S, Tobin MJ. Effect of ventilator mode on sleep quality in critically ill patients. Am J Respir Crit Care Med 2002;166(11): 1423-1429.
23. Milic-Emili J, Zin WA. Relationship between neuromuscular respiratory drive and ventilatory output. In: Fishman AP, section editor. Handbook of physiology. The respiratory system. Bethesda: American Physiological Society; 1986, sec 3, vol III, pt 2, p 631-646.
24. Yamada Y, Du HL. Analysis of the mechanisms of expiratory asynchrony in pressure support ventilation: a mathematical approach. J Appl Physiol 2000;88(6):2143-2150.
25. MacIntyre N, Nishimura M, Usada Y, Tokioka H, Takezawa J, Shimada Y. The Nagoya conference on system design and patient-ventilator interactions during pressure support ventilation. Chest 1990; 97(6):1463-1466.
26. Maclntyre NR, Ho LI. Effects of initial flow rate and breath termination criteria on pressure support ventilation. Chest 1991;99(1): 134-138.
27. max): effects on cardiorespiratory function. Respir Care 1990;35(11):1056-1064.
28. Bonmarchand G, Chevron V, Chopin C, Jusserand D, Girault C, Moritz F, et al. 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 1996;22(11):1147-1154.
29. Bonmarchand G, Chevron V, Menard JF, Girault C, Moritz-Berthelot F, Pasquis P, Leroy J. Effects of pressure ramp slope values on the work of breathing during pressure support ventilation in restrictive patients. Crit Care Med 1999;27(4):715-722. Erratum in: Crit Care Med 1999;27(7):1404.
30. Mancebo J, Amaro P, Mollo JL, Lorino H, Lemaire F, Brochard L. Comparison of the effects of pressure support ventilation delivered by three different ventilators during weaning from mechanical ventilation. Intensive Care Med 1995;21(11):913-919.
31. Uchiyama A, Imanaka H, Taenaka N. Relationship between work of breathing provided by a ventilator and patients' inspiratory drive during pressure support ventilation; effects of inspiratory rise time. Anaesth Intensive Care 2001;29(4):349-358.
32. Chiumello D, Pelosi P, Croci M, Bigatello LM, Gattinoni L. The effects of pressurization rate on breathing pattern, work of breathing, gas exchange and patient comfort in pressure support ventilation. Eur Respir J 2001;18(1):107-114.
33. Prinianakis G, Delmastro M, Carlucci A, Ceriana P, Nava S. Effect of varying the pressurisation rate during noninvasive pressure support ventilation. Eur Respir J 2004;23(2):314-320.
34. Jubran A. Inspiratory flow rate: more may not be better (editorial). Crit Care Med 1999;27(4):670-671.
35. Puddy A, Younes M. Effect of inspiratory flow rate on respiratory output in normal subjects. Am Rev Respir Dis 1992;146(3):787-789.
36. Georgopoulos D, Mitrouska I, Bshouty Z, Webster K, Anthonisen NR, Younes M. Effect of breathing route, temperature and volume of inspired gas, and airway anesthesia on the response of respiratory output to varying inspiratory flow. Am J Respir Crit Care Med 1996;153(1):168-175.
37. Corne S, Gillespie D, Roberts D, Younes M. Effect of inspiratory flow rate on respiratory rate in intubated ventilated patients. Am J Respir Crit Care Med 1997;156(1):304-308.
38. Manning HL, Molinary EJ, Leiter JC. Effect of inspiratory flow rate on respiratory sensation and pattern of breathing. Am J Respir Crit Care Med 1995;151(3 Pt 1):751-757.
39. Fernandez R, Mendez M, Younes M. Effect of ventilator flow rate on respiratory timing in normal subjects. Am J Respir Crit Care Med 1999;159(3):710-719.
40. Jubran A, Van de Graff W, Tobin MJ. Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 1995;152(1):129-136.
41. Parthasarathy S, Jubran A, Tobin MJ. Cycling of inspiratory and expiratory muscle groups with the ventilator in airflow limitation. Am J Respir Crit Care Med 1998;158(5 Pt 1):1471-1478. Erratum in: Am J Respir Crit Care Med 1999;159(3):1023.
42. Branson RD, Campbell RS. Pressure support ventilation, patient-ventilator synchrony, and ventilator algorithms (editorial). Respir Care 1998;43(12):1045-1047.
43. Hotchkiss JR, Adams AB, Stone MK, Dries DJ, Marini JJ, Crooke PS. Oscillations and noise: inherent instability of pressure support ventilation? Am J Respir Crit Care Med 2002;165(1):47-53.
44. Hotchkiss JR Jr, Adams AB, Dries DJ, Marini JJ, Crooke PS. Dynamic behavior during noninvasive ventilation: chaotic support? Am J Respir Crit Care Med 2001;163(2):374-378.
45. Adams AB, Bliss PL, Hotchkiss J. Effects of respiratory impedance on the performance of bi-level pressure ventilators. Respir Care 2000; 45(4):390-400.
46. Tokioka H, Tanaka T, Ishizu T, Fukushima T, Iwaki T, Nakamura Y, Kosogabe Y. The effect of breath termination criterion on breathing patterns and the work of breathing during pressure support ventilation. Anesth Analg 2001;92(1):161-165.
47. Chiumello D, Pelosi P, Taccone P, Slutsky A, Gattinoni L. Effect of different inspiratory rise time and cycling off criteria during pressure support ventilation in patients recovering from acute lung injury. Crit Care Med 2003;31(11):2604-2610.
48. Du HL, Amato MB, Yamada Y. Automation of expiratory trigger sensitivity in pressure support ventilation. Respir Care Clin N Am 2001; 7(3):503-517.
49. Tassaux D, Michotte JB, Gainnier M, Gratadour P, Fonseca S, Jolliet P. Expiratory trigger setting in pressure support ventilation: from mathematical model to bedside. Crit Care Med 2004;32(9):1844-1850.
50. Calderini E, Confalonieri M, Puccio PG, Francavilla N, Stella L, Gregoretti C. Patient-ventilator asynchrony during noninvasive ventilation: the role of expiratory trigger. Intensive Care Med 1999; 25(7):662-667.
51. Patroniti N, Foti G, Cortinovis B, Maggioni E, Bigatello LM, Cereda M, Pesenti A. Sigh improves gas exchange and lung volume in patients with acute respiratory distress syndrome undergoing pressure support ventilation. Anesthesiology 2002;96(4):788-794.