Calculation of intratracheal airway pressure in ventilated neonatal piglets with endotracheal tube leaks

Critical Care Medicine

Volumn 35, Issue 5, 2007, Pages 1383-1389

  Nikischin, Werner ^a   Herber Jonat, Susanne ^b   Von Bismarck, Philipp ^a   Lange, Malte ^a   Grabitz, Ralph ^a,c  

^a UNIVERSITY OF KIEL   (Germany)

^b UNIVERSITY OF MUNICH   (Germany)

^c MARTIN LUTHER UNIVERSITY HALLE WITTENBERG   (Germany)

Author keywords

Artificial ventilation; Intratracheal pressure; Neonates

Indexed keywords

ACCURACY; AIRFLOW; AIRWAY PRESSURE; ALGORITHM; ANIMAL EXPERIMENT; ARTICLE; ARTIFICIAL VENTILATION; BAROTRAUMA; CALCULATION; COMPARATIVE STUDY; CONTROLLED STUDY; ENDOTRACHEAL TUBE; LUNG VENTILATION; MATHEMATICAL ANALYSIS; MONITORING; NEWBORN; NONHUMAN; PIGLET; PRESSURE MEASUREMENT; PRIORITY JOURNAL; PROSPECTIVE STUDY; RISK ASSESSMENT; TRACHEA PRESSURE; VENTILATOR;

EID: 34247358700     PISSN: 00903493     EISSN: None     Source Type: Journal    
DOI: 10.1097/01.CCM.0000260244.32756.BB     Document Type: Article

References (26)

1. Bernstein G, Knodel E, Heldt GP: Airway leak size in neonates and autocycling of three flow-triggered ventilators. Crit Care Med 1995; 23:1739-1744
2. Sherman JM, Lowitt S, Stephenson C, et al: Factors influencing acquired subgottic stenosis in infants. J Pediatr 1986; 109:322-327
3. Sherman JM, Nelson H: Decreased incidence of subglottic stenosis using an "appropriatesized" endotracheal tube in neonates. Pediatr Pulmonol 1989; 6:183-185
4. Contencin P, Narcy P: Size of endotracheal tube and neonatal acquired subglottic stenosis. Study Group for Neonatology and Pediatric Emergencies in the Parisian Area. Arch Otolaryngol Head Neck Surg 1993; 119:815-819
5. Guttmann J, Kessler V, Mols G, et al: Continuous calculation of intratracheal pressure in the presence of pediatric endotracheal tubes. Crit Care Med 2000; 28:1018-1026
6. Guttmann J, Eberhard L, Fabry B, et al: Continuous calculation of intratracheal pressure in tracheally intubated patients. Anesthesiology 1993; 79:503-513
7. Bancalari E: Inadvertent positive endexpiratory pressure during mechanical ventilation. J Pediatr 1986; 108:567-569
8. Carlo WA, Martin RJ: Principles of neonatal assisted ventilation. Pediatr Clin North Am 1986; 33:221-237
9. Reynolds EO: Effect of alterations in mechanical ventilator settings on pulmonary gas exchange in hyaline membrane disease. Arch Dis Child 1971; 46:152-159
10. Stewart AR, Finer NN, Peters KL: Effects of alterations of inspiratory and expiratory pressures and inspiratory/expiratory ratios on mean airway pressure, blood gases, and intracranial pressure. Pediatrics 1981; 67:474-481
11. Hird M, Greenough A, Gamsu H: Gas trapping during high frequency positive pressure ventilation using conventional ventilators. Early Hum Dev 1990; 22:51-56
12. Heicher DA, Kasting DS, Harrod JR: Prospective clinical comparison of two methods for mechanical ventilation of neonates: rapid rate and short inspiratory time versus slow rate and long inspiratory time. J Pediatr 1981; 98:957-961
13. Reynolds EO, Taghizadeh A: Improved prognosis of infants mechanically ventilated for hyaline membrane disease. Arch Dis Child 1974; 49:505-515
14. Nikischin W, Lange M, Jonat S, et al: Determination of intrapulmonary airway pressure for large endotracheal tube leaks. Pediatr Res 2001; 49:2283
15. Kuo CY, Gerhardt T, Bolivar J, et al: Effect of leak around the endotracheal tube on measurements of pulmonary compliance and resistance during mechanical ventilation: a lung model study. Pediatr Pulmonol 1996; 22:35-43
16. Gottfried SB, Rossi A, Higgs BD, et al: Noninvasive determination of respiratory system mechanics during mechanical ventilation for acute respiratory failure. Am Rev Respir Dis 1985; 131:414-420
17. Nikischin W, Lange M: Correction of compliance and resistance altered by endotracheal tube leaks. Pediatr Crit Care Med 2003; 4:344-352
18. Mead J, Whittenberger JL: Physical properties of human lungs measured during spontaneous respiration. J Appl Physiol 1953; 5:779-796
19. Bland JM, Altman DG: Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1986; 1:307-310
20. Redding GJ, Fan L, Cotton EK, et al: Partial obstruction of endotracheal tubes in children: incidence, etiology, significance. Crit Care Med 1979; 7:227-231
21. Gribetz I, Frank NR, Avery ME: Static volume-pressure relations of excised lungs of infants with hyaline membrane disease, newborn and stillborn infants. J Clin Invest 1959; 38:2168-2175
22. Nikischin W, Gerhardt T, Everett R, et al: A new method to analyze lung compliance when pressure-volume relationship is nonlinear. Am J Respir Crit Care Med 1998; 158:1052-1060
23. Nikischin W, Lange M: Correction of compliance and resistance altered by endotracheal tube leaks and non-linear pressure/volume relationships. Eur J Appl Physiol 2007; 99:301-311
24. Sly PD, Brown KA, Bates JH, et al: Noninvasive determination of respiratory mechanics during mechanical ventilation of neonates: a review of current and future techniques. Pediatr Pulmonol 1988; 4:39-47
25. Chang HK, Mortola JP: Fluid dynamic factors in tracheal pressure measurement. J Appl Physiol 1981; 51:218-225
26. Loring SH, Elliott EA, Drazen JM: Kinetic energy loss and convective acceleration in respiratory resistance measurements. Lung 1979; 156:33-42