Cycling-off modes during pressure support ventilation: Effects on breathing pattern, patient effort, and comfort

Journal of Critical Care

Volumn 29, Issue 3, 2014, Pages 380-385

  Hoff, Fabrícia C ^a,b   Tucci, Mauro R ^e   Amato, Marcelo B P ^e   Santos, Laura J ^c,d   Victorino, Josué A ^a,b  

^a HOSPITAL MÃE DE DEUS   (Brazil)

^b FEDERAL UNIVERSITY OF RIO GRANDE DO SUL   (Brazil)

^c UNIVERSIDADE LUTERANA DO BRASIL   (Brazil)

^d UNIVERSITY OF SÃO PAULO   (Brazil)

^e HOSPITAL DE CLÍNICAS DE PORTO ALEGRE   (Brazil)

Author keywords

Cycling off criteria; Patient comfort; Patient ventilator interaction; Pressure support ventilation

Indexed keywords

ADULT; AGED; AIRWAY OBSTRUCTION; ARTICLE; BREATHING PATTERN; BREATHING RATE; CLINICAL ARTICLE; CONTROLLED STUDY; CROSSOVER PROCEDURE; EXERCISE; FEMALE; HUMAN; INSPIRATORY CAPACITY; LUNG VENTILATION; MALE; PATIENT COMFORT; PATIENT EFFORT; PHYSICAL CAPACITY; POSITIVE END EXPIRATORY PRESSURE; PRESSURE SUPPORT VENTILATION; RANDOMIZED CONTROLLED TRIAL; TERMINAL CARE; VISUAL ANALOG SCALE; ANALYSIS OF VARIANCE; ARTIFICIAL VENTILATION; BREATHING; EXHALATION; MIDDLE AGED; PHYSIOLOGICAL STRESS; PHYSIOLOGY; PROCEDURES; TIDAL VOLUME; TIME;

AGED; ANALYSIS OF VARIANCE; CROSS-OVER STUDIES; EXHALATION; FEMALE; HUMANS; MALE; MIDDLE AGED; POSITIVE-PRESSURE RESPIRATION; RESPIRATION; RESPIRATORY RATE; STRESS, PHYSIOLOGICAL; TIDAL VOLUME; TIME FACTORS; VENTILATOR WEANING;

EID: 84899984361     PISSN: 08839441     EISSN: 15578615     Source Type: Journal    
DOI: 10.1016/j.jcrc.2014.01.015     Document Type: Article

References (30)

1. Chiumello D., Polli F., Tallarini F., Chierichetti M., Motta G., Azzari S., et al. Effect of different cycling-off criteria and positive end-expiratory pressure during pressure support ventilation in patients with chronic obstructive pulmonary disease. Crit Care Med 2007, 35:2547-2552.
2. Tassaux D., Gainnier M., Battisti A., Jolliet P. Impact of expiratory trigger setting on delayed cycling and inspiratory muscle workload. Am J Respir Crit Care Med 2005, 172:1283-1289.
3. Thille A.W., Cabello B., Galia F., Lyazidi A., Brochard L. Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure-support ventilation. Intensive Care Med 2008, 34:1477-1486.
4. Tokioka H., Tanaka T., Ishizu T., Fukushima T., Iwaki T., Nakamura Y., et al. The effect of breath termination criterion on breathing patterns and the work of breathing during pressure support ventilation. Anesth Analg 2001, 92:161-165.
5. Tassaux D., Michotte J.B., Gainnier M., Gratadour P., Fonseca S., Jolliet P. Expiratory trigger setting in pressure support ventilation: from mathematical model to bedside. Crit Care Med 2004, 32:1844-1850.
6. Prinianakis G., Plataki M., Kondili E., Klimathianaki M., Vaporidi K., Georgopoulos D. Effects of relaxation of inspiratory muscles on ventilator pressure during pressure support. Intensive Care Med 2008, 34:70-74.
7. Tobin M.J., Perez W., Guenther S.M., Semmes B.J., Mador M.J., Allen S.J., et al. The pattern of breathing during successful and unsuccessful trials of weaning from mechanical ventilation. Am Rev Respir Dis 1986, 134:1111-1118.
8. Vovk A., Binks A.P. Raising end-expiratory volume relieves air hunger in mechanically ventilated healthy adults. J Appl Physiol 2007, 103:779-786.
9. Yamada Y., Du H.L. Analysis of the mechanisms of expiratory asynchrony in pressure support ventilation: a mathematical approach. J Appl Physiol 2000, 88:2143-2150.
10. Du H.L., Amato M.B., Yamada Y. Automation of expiratory trigger sensitivity in pressure support ventilation. Respir Care Clin N Am 2001, 7:503-517.
11. Al-Majed S.I., Thompson J.E., Watson K.F., Randolph A.G. Effect of lung compliance and endotracheal tube leakage on measurement of tidal volume. Crit Care 2004, 8:R398-R402.
12. Alberti A., Gallo F., Fongaro A., Valenti S., Rossi A. P0.1 is a useful parameter in setting the level of pressure support ventilation. Intensive Care Med 1995, 21:547-553.
13. Palo A., Olivei M., Iotti G., Brunner J.X., Galbusera C., Braschi A. Continuous measurement of P sub 0.1 during mechanical ventilation. Validations and clinical applications. Acta Anaesth Ital 1992, 43:382-392.
14. Iotti G.A., Brunner J.X., Braschi A., Laubscher T., Olivei M.C., Palo A., et al. Closed-loop control of airway occlusion pressure at 0.1second (P0.1) applied to pressure-support ventilation: algorithm and application in intubated patients. Crit Care Med 1996, 24:771-779.
15. Murciano D., Aubier M., Bussi S., Derenne J.P., Pariente R., Milic-Emili J. Comparison of esophageal, tracheal, and mouth occlusion pressure in patients with chronic obstructive pulmonary disease during acute respiratory failure. Am Rev Respir Dis 1982, 126:837-841.
16. Vitacca M., Bianchi L., Zanotti E., Vianello A., Barbano L., Porta R., et al. Assessment of physiologic variables and subjective comfort under different levels of pressure support ventilation. Chest 2004, 126:851-859.
17. Thille A.W., Rodriguez P., Cabello B., Lellouche F., Brochard L. Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 2006, 32:1515-1522.
18. Bland J.M., Altman D.G. Calculating correlation coefficients with repeated observations: Part 1- Correlation within subjects. BMJ 1995, 310:446.
19. 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, 31:2604-2610.
20. Laghi F., Segal J., Choe W.K., Tobin M.J. Effect of imposed inflation time on respiratory frequency and hyperinflation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2001, 163:1365-1370.
21. Laghi F., Karamchandani K., Tobin M.J. Influence of ventilator settings in determining respiratory frequency during mechanical ventilation. Am J Respir Crit Care Med 1999, 160:1766-1770.
22. 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, 156:304-308.
23. Laghi F., Goyal A. Auto-PEEP in respiratory failure. Minerva Anestesiol 2012, 78:201-221.
24. Tuxen D.V., Lane S. The effects of ventilatory pattern on hyperinflation, airway pressures, and circulation in mechanical ventilation of patients with severe air- flow obstruction. Am Rev Respir Dis 1987, 136:872-879.
25. Bonmarchand G., Chevron V., Menard J.F., Girault C., Moritz-Berthelot F., Pasquis P., et al. Effects of pressure ramp slope values on the work of breathing during pressure support ventilation in restrictive patients. Crit Care Med 1999, 27:715-722.
26. 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, 22:1147-1154.
27. Mols G., von Ungern-Sternberg B., Rohr E., Haberthur C., Geiger K., Guttmann J. Respiratory comfort and breathing pattern during volume proportional assist ventilation and pressure support ventilation: a study on volunteers with artificially reduced compliance. Crit Care Med 2000, 28:1940-1946.
28. Giannouli E., Webster K., Roberts D., Younes M. Response of ventilator-dependent patients to different levels of pressure support and proportional assist. Am J Respir Crit Care Med 1999, 159:1716-1725.
29. Chao D.C., Scheinhorn D.J., Stearn-Hassenpflug M. Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 1997, 112:1592-1599.
30. Hedenstierna G. Esophageal pressure: benefit and limitations. Minerva Anestesiol 2012, 78:959-966.