The promises and problems of transpulmonary pressure measurements in acute respiratory distress syndrome

Current Opinion in Critical Care

Volumn 22, Issue 1, 2016, Pages 7-13

  Sahetya, Sarina K ^a   Brower, Roy G ^a  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

Author keywords

Acute respiratory distress syndrome; Esophageal pressure; Positive end expiratory pressure; Transpulmonary pressure

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; AIRWAY PRESSURE; ARTIFICIAL VENTILATION; BREATHING MECHANICS; ESOPHAGUS PRESSURE; HUMAN; LUNG PRESSURE; MECHANICAL VENTILATOR; POSITIVE END EXPIRATORY PRESSURE; PRESSURE MEASUREMENT; REVIEW; THORAX PRESSURE; TRANSPULMONARY PRESSURE; VENTILATOR INDUCED LUNG INJURY; ACUTE LUNG INJURY; ADVERSE EFFECTS; FEMALE; INTENSIVE CARE; LUNG WEDGE PRESSURE; MALE; MANOMETRY; MORTALITY; PHYSIOLOGIC MONITORING; PROCEDURES; PROGNOSIS; RESPIRATORY DISTRESS SYNDROME, ADULT; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SURVIVAL ANALYSIS; UNITED STATES; VENTILATOR-INDUCED LUNG INJURY;

ACUTE LUNG INJURY; CRITICAL CARE; FEMALE; HUMANS; MALE; MANOMETRY; MONITORING, PHYSIOLOGIC; POSITIVE-PRESSURE RESPIRATION; PROGNOSIS; PULMONARY WEDGE PRESSURE; RESPIRATORY DISTRESS SYNDROME, ADULT; RISK ASSESSMENT; SEVERITY OF ILLNESS INDEX; SURVIVAL ANALYSIS; UNITED STATES; VENTILATOR-INDUCED LUNG INJURY;

EID: 84952720480     PISSN: 10705295     EISSN: 15317072     Source Type: Journal    
DOI: 10.1097/MCC.0000000000000268     Document Type: Review

References (40)

1. Dreyfuss D, Saumon G. Ventilator-induced lung injury: lessons from experimental studies. Am J Respir Crit Care Med 1998; 157: 294-323.
2. Webb H, Tierney D. Experimental pulmonary edema due to intermittent positive pressure ventilation with high inflation pressures. Protection by positive end-expiratory pressure. Am Rev Respir Dis 1974; 110: 556-565.
3. Muscedere JG, Mullen JB, Gan K, Slutsky AS. Tidal ventilation at low airway pressures can augment lung injury. Am J Respir Crit Care Med 1994; 149: 1327-1334.
4. Hubmayr RD. Perspective on lung injury and recruitment: a skeptical look at the opening and collapse story. Am J Respir Crit Care Med 2002; 165: 1647-1653.
5. 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.
6. 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.
7. Hager DN, Brower RG. Customizing lung-protective mechanical ventilation strategies. Crit Care Med 2006; 34: 1554-1555.
8. 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.
9. Dreyfuss D, Soler P, Basset G, Saumon G. High inflation pressure pulmonary edema: respective effects of high airway pressure, high tidal volume, and positive end-expiratory pressure. Am Rev Respir Dis 1988; 137: 1159-1164.
10. Mercat A, Richard JM, Vielle B, et al. Positive end-expiratory pressure setting in adults with acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008; 299: 646-655.
11. Meade MO, Cook DJ, Guyatt GH, et al. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008; 299: 637-645.
12. Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351: 327-336.
13. Grasso S, Terragni P, Birocco A, et al. ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med 2012; 38: 395-403.
14. Cherniack RM, Farhi LE, Armstrong BW, Proctor DF. A comparison of esophageal and intrapleural pressure in man. J Appl Physiol 1955; 8: 203-211.
15. Milic-Emili J, Mead J, Turner JM. Topography of esophageal pressure as a function of posture in man. J Appl Physiol 1964; 19: 212-216.
16. Milic-Emili J, Mead J, Turner JM, Glauser EM. Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol 1964; 19: 207-211.
17. Gibson GJ, Pride NB; Lung distensibility. The static pressure-volume curve of the lungs and its use in clinical assessment. Br J Dis Chest 1976; 70: 143-184.
18. Mead J, Gaensler EA. Esophageal and pleural pressures in man, upright and supine. J Appl Physiol 1959; 14: 81-83.
19. Keller SP, Fessler HE. Monitoring of oesophageal pressure. Curr Opin Crit Care 2014; 20: 340-346.
20. Talmor DS, Fessler HE. Are esophageal pressure measurements important in clinical decision-making in mechanically ventilated patients? Respir Care 2010; 55: 162-174.
21. Washko GR, Donnell CR, Loring SH. Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. J Appl Physiol (1985) 2006; 100: 753-758.
22. Gattinoni L, Chiumello D, Carlesso E, Valenza F. Bench-to-bedside review: chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care 2004; 8: 350-355.
23. Brochard L. Measurement of esophageal pressure at bedside: pros and cons. Curr Opin Crit Care 2014; 20: 39-46.
24. Chiumello D, Cressoni M, Colombo A, et al. The assessment of transpulmonary pressure in mechanically ventilated ARDS patients. Intensive Care Med 2014; 40: 1670-1678.
25. Pelosi P, Goldner M, McKibben A, et al. Recruitment and derecruitment during acute respiratory failure. Am J Respir Crit Care Med 2001; 164: 122-130.
26. Wilson TA. Solid mechanics. In: Macklem P, Mead J, editors. Handbook of Physiology, Sec. 2, Vol. 3, Mechanics of Breathing. Bethesda, Maryland: Am Physiol Soc; 1986. pp. 35-40.
27. Lai-Fook SJ, Rodarte JR. Pleural pressure distribution and its relationship to lung volume and interstitial pressure. J Appl Physiol (1985) 1991; 70: 967-978.
28. Lachmann B. Open up the lung and keep the lung open. Intensive Care Med 1992; 18: 319-321.
29. Loring SH, O'Donnell CR, Behazin N, et al. Esophageal pressures in acute lung injury: do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress? J Appl Physiol (1985) 2010; 108: 515-522.
30. 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.
31. Talmor D, Sarge T, O'Donnell CR, et al. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med 2006; 34: 1389-1394.
32. Fish E, Novack V, Banner-Goodspeed VM, et al. The esophageal pressureguided ventilation 2 (EPVent2) trial protocol: a multicentre, randomised clinical trial of mechanical ventilation guided by transpulmonary pressure. BMJ Open 2014; 4: e006356.
33. Gulati G, Novero A, Loring SH, Talmor D. Pleural pressure and optimal positive end-expiratory pressure based on esophageal pressure versus chest wall elastance: incompatible results. Crit Care Med 2013; 41: 1951-1957.
34. Chiumello D, Cressoni M, Carlesso E, et al. Bedside selection of positive endexpiratory pressure in mild, moderate, and severe acute respiratory distress syndrome. Crit Care Med 2014; 42: 252-264.
35. Samary CS, Santos RS, Santos CL, et al. Biological impact of transpulmonary driving pressure in experimental acute respiratory distress syndrome. Anesthesiology 2015; 123: 423-433.
36. Cortes-Puentes GA, Keenan JC, Adams AB, et al. Impact of chest wall modifications and lung injury on the correspondence between airway and transpulmonary driving pressures. Crit Care Med 2015; 43: e287-e295.
37. Rodriguez PO, Bonelli I, Setten M, et al. Transpulmonary pressure and gas exchange during decremental PEEP titration in pulmonary ARDS patients. Respir Care 2013; 58: 754-763.
38. Terragni PP, Filippini C, Slutsky AS, et al. Accuracy of plateau pressure and stress index to identify injurious ventilation in patients with acute respiratory distress syndrome. Anesthesiology 2013; 119: 880-889.
39. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 2015; 372: 747-755.
40. Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 2014; 189: 520-531.