Airway pressure and flow monitoring

Current Opinion in Critical Care

Volumn 16, Issue 3, 2010, Pages 255-260

  Zanella, Alberto ^a   Bellani, Giacomo ^a   Pesenti, Antonio ^a  

^a SAN GERARDO HOSPITAL   (Italy)

Author keywords

Forced oscillation technique; Inspiratory flow; Rapid interrupter technique; Transpulmonary pressure; Ventilator induced lung injury

Indexed keywords

ACUTE LUNG INJURY; ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE; AIRWAY RESISTANCE; ARTIFICIAL VENTILATION; BREATHING; CLINICAL TRIAL; HUMAN; LUNG PRESSURE; MUCUS SECRETION; NONHUMAN; OSCILLATION; PATHOPHYSIOLOGY; PATIENT MONITORING; POINT OF CARE TESTING; POSITIVE END EXPIRATORY PRESSURE; RESPIRATORY AIRFLOW; REVIEW; RISK FACTOR; VENTILATOR ASSOCIATED PNEUMONIA; VENTILATOR INDUCED LUNG INJURY;

HUMANS; MONITORING, PHYSIOLOGIC; RESPIRATION, ARTIFICIAL; RESPIRATORY MECHANICS; VENTILATOR-INDUCED LUNG INJURY;

EID: 77952380129     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0b013e328337f209     Document Type: Review

References (38)

1. Ricard JD, Dreyfuss D, Saumon G. Ventilator-induced lung injury. Eur Respir J Suppl 2003; 42:2s-9s.
2. Hager DN, Krishnan JA, Hayden DL, Brower RG. Tidal volume reduction in patients with acute lung injury when plateau pressures are not high. Am J Respir Crit Care Med 2005; 172:1241-1245.
3. Parker JC, Hernandez LA, Peevy KJ. Mechanisms of ventilator-induced lung injury. Crit Care Med 1993; 21:131-143.
4. KolobowT, Moretti MP, Fumagalli R, et al. Severe impairment in lung function induced by high peak airway pressure during mechanical ventilation. An experimental study. Am Rev Respir Dis 1987; 135:312-315.
5. Mascheroni D, Kolobow T, Fumagalli R, et al. Acute respiratory failure following pharmacologically induced hyperventilation: an experimental animal study. Intensive Care Med 1988; 15:8-14.
6. Amato MB, Barbas CS, Medeiros DM, et al. Effect of a protective- ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med 1998; 338:347-354.
7. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. The Acute Respiratory Distress Syndrome Network. N Engl J Med 2000; 342:1301-1308.
8. Stewart TE, Meade MO, Cook DJ, et al. Evaluation of a ventilation strategy to prevent barotrauma in patients at high risk for acute respiratory distress syndrome. Pressure- and Volume-Limited Ventilation Strategy Group. N Engl J Med 1998; 338:355-361.
9. Brower RG, Shanholtz CB, Fessler HE, et al. Prospective, randomized, controlled clinical trial comparing traditional versus reduced tidal volume ventilation in acute respiratory distress syndrome patients. Crit Care Med 1999; 27:1492-1498.
10. Brochard L, Roudot-Thoraval F, Roupie E, et al. Tidal volume reduction for prevention of ventilator-induced lung injury in acute respiratory distress syndrome. The Multicenter Trail Group on Tidal Volume reduction in ARDS. Am J Respir Crit Care Med 1998; 158:1831-1838.
11. Gattinoni L, Pesenti A, Avalli L, et al. Pressure volume curve of total respiratory system in acute respiratory failure. Computed tomographic scan study. AM Rev Respir Dis 1987; 136:730-736.
12. Chiumello D, Carlesso E, Cadringher P, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 2008; 178:346-355.
13. Gattinoni L, D'Andrea L, Pelosi P, et al. Regional effects and mechanism of positive end expiratory pressure in early adult respiratory distress syndrome. J Am Med Assoc 1993; 269:2122-2127.
14. Gattinoni L, Pesenti A, Baglioni S, et al. Inflammatory pulmonary edema end positive end-expiratory pressure: correlations between imaging and physiological studies. J Thorac Imaging 1988; 3:59-64.
15. Talmor D, Sarge T, Malhotra A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008; 359:2095-2104.
16. Suter PM. Assessment of respiratory mechanics in ARDS. In: Zapol WM, Falke K, editors. Acute respiratory failure. NewYork: Marcel Dekker; 1985. pp. 507-519.
17. Baydur A, Cha EJ, Saaaoon CSH. Validation of esophageal balloon technique at different lung volumes and postures. Appl Physiol 1987; 62:315-321.
18. Vieillard-Baron A, Jardin F. Esophageal pressure in acute lung injury. N Engl J Med 2009; 360:832; author reply 832-833.
19. Georgopoulos D, Prinianakis G, Kondili E. Bedside waveforms interpretation as a tool to identify patient-ventilator asynchronies. Intensive Care Med 2006; 32:34-47.
20. Blanch L, Bernabe F, Lucangelo U. Measurement of air trapping, intrinsic positive end-expiratory pressure, and dynamic hyperinflation in mechanically ventilated patients. Respir Care 2005; 50:110-123; discussion 123-114.
21. Kotani M, KotaniT, Li Z, et al. Reduced inspiratory flow attenuates IL-8 release and MAPK activation of lung overstretch. Eur Respir J 2004; 24:238-246.
22. Garcia C, Abreu SC, Soares RML, et al. Pulmonary morphofunctional effects of mechanical ventilation with high inspiratory air flow. Crit Care Med 2008; 36:232-239.
23. Rich PB, Reickert CA, Sawada S, et al. Effect of rate and inspiratory flow on ventilator-induced lung injury. J Trauma Injury Infect Crit Care 2000; 49:903-911.
24. Maeda Y, Fujino Y, Uchiyama A, et al. Effects of peak inspiratory flow on development of ventilator-induced lung injury flow in rabbits. Anesthesiology 2004; 101:722-728.
25. Gattinoni L, Pesenti A. The concept of 'baby lung'. Intensive Care Med 2005; 31:776-784.
26. Mead J, Takishima T, Leith D. Stress distribution in lungs: a model of pulmonary elasticity. J Appl Physiol 1970; 28:596-608.
27. Sackner MA, Hirsch J, Epstein S. Effect of cuffed endotracheal tubes on tracheal mucous velocity. Chest 1975; 68:774-777.
28. Kim CS, Iglesias AJ, Sackner MA. Mucus clearance by two-phase gas-liquid flow mechanism: asymmetric periodic flow model. J Appl Physiol 1987; 62:959-971.
29. Volpe MS, Adams AB, Amato MB, Marini JJ. Ventilation patterns influence airway secretion movement. Respir Care 2008; 53:1287-1294.
30. Marini JJ, Gattinoni L. Propagation prevention: a complementary mechanism for 'lung protective' ventilation in acute respiratory distress syndrome. Crit Care Med 2008; 36:3252-3258.
31. Stenqvist O, Odenstedt H, Lundin S. Dynamic respiratory mechanics in acute lung injury/acute respiratory distress syndrome: research or clinical tool? Curr Opin Crit Care 2008; 14:87-93.
32. Pesenti A, Pelosi P, Foti G, et al. An interrupter technique for measuring respiratory mechanics and the pressure generated by respiratory muscles during partial ventilatory support. Chest 1992; 102:918-923.
33. Bellani G, Patroniti N, Weismann D, et al. Measurement of pressure-time product during spontaneous assisted breathing by rapid interrupter technique. Anesthesiology 2007; 106:484-490.
34. Oostveen E, MacLeod D, Lorino H, et al. The forced oscillation technique in clinical practice: methodology, recommendations and future developments. Eur Respir J 2003; 22:1026-1041.
35. Dellaca RL, Zannin E, Sancini G, et al. Changes in the mechanical properties of the respiratory system during the development of interstitial lung edema. Respir Res 2008; 9:51.
36. Zosky GR, Cannizzaro V, Hantos Z, Sly PD. Protective mechanical ventilation does not exacerbate lung function impairment or lung inflammation following influenza A infection. J Appl Physiol 2009; 107:1472-1478.
37. Dellaca RL, Andersson Olerud M, Zannin E, et al. Lung recruitment assessed by total respiratory system input reactance. Intensive Care Med 2009 [Epub ahead of print].
38. Sellares J, Acerbi I, Loureiro H, et al. Respiratory impedance during weaning from mechanical ventilation in a mixed population of critically ill patients. Br J Anaesth 2009; 103:828-832.