Expiratory automatic endotracheal tube compensation reduces dynamic hyperinflation in a physical lung model

Critical Care

Volumn 13, Issue 1, 2009, Pages

  Haberthür, Christoph ^a   Mehlig, Annekathrin ^a,b   Stover, John F ^c   Schumann, Stefan ^d   Möller, Knut ^d,e   Priebe, Hans Joachim ^d   Guttmann, Josef ^d  

^a Department of Anesthesiology   (Switzerland)

^b Kantonsspital Liestal ^*  (Switzerland)

^c UNIVERSITY HOSPITAL ZURICH   (Switzerland)

^d UNIVERSITY OF FREIBURG   (Germany)

^e FURTWANGEN UNIVERSITY   (Germany)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; ARTIFICIAL VENTILATION; AUTOMATIC TUBE COMPENSATION; BREATHING RATE; CONTROLLED STUDY; ENDOTRACHEAL TUBE; EXPIRATORY ENDOTRACHEAL TUBE; INSPIRATORY CAPACITY; LUNG COMPLIANCE; LUNG INFLATION; LUNG MODEL; LUNG VOLUME; PEAK EXPIRATORY FLOW; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; TIDAL VOLUME; BIOLOGICAL MODEL; COMPARATIVE STUDY; ENDOTRACHEAL INTUBATION; EXHALATION; INSTRUMENTATION; LUNG; METHODOLOGY; PHYSIOLOGY; VENTILATOR;

EXHALATION; INTUBATION, INTRATRACHEAL; LUNG; MODELS, BIOLOGICAL; VENTILATORS, MECHANICAL;

EID: 60849100787     PISSN: 13648535     EISSN: 1466609X     Source Type: Journal    
DOI: 10.1186/cc7693     Document Type: Article

References (16)

1. Guttmann J Eberhard L Fabry B Bertschmann W Zeravik J Adolph M Eckart J Wolff G Time constant/volume relationship of passive expiration in mechanically ventilated ARDS patients Eur Respir J 1995, 8:114-120. 10.1183/09031936.95.08010114 7744177
2. Imanaka H Kacmarek RM Ritz R Hess D Tracheal gas insufflation: Pressure control versus volume control ventilation. A lung model study Am J Respir Crit Care Med 1996, 153:1019-1024. 8630540
3. Marini J Ravenscraft S Mean airway pressure: Physiologic determinants anP clinical importance: Part I: physiologic determinants and measurements. Clinical implications Crit Care Med 1992, 20:1461-1472. 1395670
4. Marini J Ravenscraft S Mean airway pressure: Physiologic determinants and clinical importance: Part II: Clinical implications Crit Care Med 1992, 20:1604-1616. 10.1097/00003246-199211000-00020 1424706
5. Marini J Crooke P Truwit J Determinants and limits of pressure preset ventilation: A mathematical model of pressure control J Appl Physiol 1989, 67:1081-1092. 2676950
6. Fabry B Guttmann J Eberhard L Wolff G Automatic compensation of endotracheal tube resistance in spontaneously breathing patients Technol Health Care 1994, 1:281-291.
7. Elsasser S Guttmann J Stocker R Mols G Haberthür C Accuracy of automatic tube compensation (ATC) in new-generation mechanical ventilators Crit Care Med 2003, 31:2619-2626. 10.1097/ 01.CCM.0000094224.78718.2A 14605533
8. Guttmann J Eberhard L Fabry B Bertschmann W Wolff G Continuous calculation of intratracheal pressure in tracheally intubated patients Anesthesiology 1993, 79:503-513. 10.1097/00000542-199309000-00014 8363076
9. Agostoni E Mead J Statics of the respiratory system The Respiratory System: Mechanics of Breathing. Handbook of Physiology Bethesda, MD: American Physiological Society Macklem PT, Mead J 1964, II:387-409.
10. Guttmann J Haberthür C Mols G Automatic tube compensation (ATC) Closed-loop Control Mechanical Ventilation. Respiratory Care Clinics of North America Philadelphia,: PA: Saunders Iotti GA (guest) 2001, 7(3):475-501.
11. Fabry B Haberthür C Zappe D Guttmann J Kuhlen R Stocker R Breathing pattern and additional work of breathing in spontaneously breathing patients with different ventilatory demands during inspiratory pressure support and automatic tube compensation Intensive Care Med 1997, 23:545-552. 10.1007/s001340050371 9201527
12. Haberthür C Fabry B Stocker R Ritz R Guttmann J Additional inspiratory work of breathing imposed by tracheostomy tubes and non-ideal ventilator properties in critically ill patients Intensive Care Med 1999, 25:514-519. 10.1007/s001340050890 10401948
13. Haberthür C Mols G Elsasser S Bingisser R Stocker R Guttmann J Extubation after breathing trials with automatic tube compensation, T-tube, or pressure support ventilation Acta Anaesthesiol Scand 2002, 46:973-979. 10.1034/j.1399-6576.2002.460808.x 12190798
14. Uchiyama A Nishimura M Amata M Mashimo T Fujino Y A new expiratory support system for resolving air trapping in lungs during mechanical ventilation: A lung model study Technol Health Care 2007, 15:213-220. 17473401
15. The Acute Respiratory Distress Syndrome Network Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome N Engl J Med 2000, 342:1301-1308. 10.1056/NEJM200005043421801 10793162
16. Fabry B Guttmann J Eberhard L Bauer T Haberthür C Wolff G An analysis of desynchronisation between the spontaneously breathing patient and ventilator during inspiratory pressure support Chest 1995, 107:1387-1394. 10.1378/chest.107.5.1387 7750336