Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives

Intensive Care Medicine

Volumn 42, Issue 9, 2016, Pages 1360-1373

  Mauri, Tommaso ^a   Yoshida, Takeshi ^b,c   Bellani, Giacomo ^d   Goligher, Ewan C ^e,f   Carteaux, Guillaume ^g,h   Rittayamai, Nuttapol ^e,i,j   Mojoli, Francesco ^k   Chiumello, Davide ^a,l   Piquilloud, Lise ^m,n   Grasso, Salvatore ^o   Jubran, Amal ^p   Laghi, Franco ^p   Magder, Sheldon ^q   Pesenti, Antonio ^a,l   Loring, Stephen ^r   Gattinoni, Luciano ^a,l   Talmor, Daniel ^r   Blanch, Lluis ^s   Amato, Marcelo ^t   Chen, Lu ^e,j   Brochard, Laurent ^e,j   Mancebo, Jordi ^u   more..

^a FONDAZIONE IRCCS CA GRANDA OSPEDALE MAGGIORE POLICLINICO   (Italy)

^b HOSPITAL FOR SICK CHILDREN   (Canada)

^c OSAKA UNIVERSITY HOSPITAL   (Japan)

^d UNIVERSITY OF MILANO BICOCCA   (Italy)

^e UNIVERSITY OF TORONTO   (Canada)

^f UNIVERSITY HEALTH NETWORK   (Canada)

^g HENRI MONDOR HOSPITAL   (France)

^h UNIVERSITÉ PARIS EST CRÉTEIL   (France)

ⁱ MAHIDOL UNIVERSITY   (Thailand)

^j ST MICHAEL'S HOSPITAL   (Canada)

^k UNIVERSITY OF PAVIA   (Italy)

^l UNIVERSITY OF MILAN   (Italy)

^m LAUSANNE UNIVERSITY HOSPITAL   (Switzerland)

ⁿ ANGERS UNIVERSITY HOSPITAL   (France)

^o UNIVERSITY OF BARI   (Italy)

^p LOYOLA UNIVERSITY CHICAGO   (United States)

^q MCGILL UNIVERSITY HEALTH CENTRE   (Canada)

^r HARVARD MEDICAL SCHOOL   (United States)

^s PARC TAULÍ HOSPITAL UNIVERSITARI   (Spain)

^t UNIVERSITY OF SÃO PAULO   (Brazil)

^u HOSPITAL DE LA SANTA CREU I SANT PAU   (Spain)

more..

Author keywords

Acute respiratory distress syndrome; Acute respiratory failure; Esophageal pressure; Mechanical ventilation; Physiologic monitoring

Indexed keywords

ADULT RESPIRATORY DISTRESS SYNDROME; ARTIFICIAL VENTILATION; BLOOD PRESSURE; BREATHING MUSCLE; ELECTRIC ACTIVITY; ESOPHAGUS PRESSURE; HUMAN; LUNG COMPLIANCE; LUNG PRESSURE; POSITIVE END EXPIRATORY PRESSURE; REVIEW; TRANSPULMONARY PRESSURE; VENTILATOR WEANING; BREATHING MECHANICS; CATHETERIZATION; DIAPHRAGM; ESOPHAGUS; PATHOPHYSIOLOGY; PHYSIOLOGIC MONITORING; PHYSIOLOGY; PROCEDURES; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY INSUFFICIENCY;

CATHETERIZATION; DIAPHRAGM; ESOPHAGUS; HUMANS; MONITORING, PHYSIOLOGIC; POSITIVE-PRESSURE RESPIRATION; RESPIRATION, ARTIFICIAL; RESPIRATORY DISTRESS SYNDROME, ADULT; RESPIRATORY INSUFFICIENCY; RESPIRATORY MECHANICS; VENTILATOR WEANING;

EID: 84975527276     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-016-4400-x     Document Type: Review

References (77)

1. Akoumianaki E, Maggiore SM, Valenza F et al (2014) The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 189:520–531
2. Brochard L (2014) Measurement of esophageal pressure at bedside: pros and cons. Curr Opin Crit Care 20:39–46
3. Milic-Emili J, Mead J, Turner JM, Glauser EM (1964) Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol 19:207–211
4. Mojoli F, Chiumello D, Pozzi M et al (2015) Esophageal pressure measurements under different conditions of intrathoracic pressure. An in vitro study of second generation balloon catheters. Minerva Anestesiol 81(8):855–864
5. Walterspacher S, Isaak L, Guttmann J et al (2014) Assessing respiratory function depends on mechanical characteristics of balloon catheters. Respir Care 59:1345–1352
6. Mojoli F, Iotti GA, Torriglia F et al (2016) In vivo calibration of esophageal pressure in the mechanically ventilated patient makes measurements reliable. Crit Care 20(1):98
7. Milic-Emili J, Mead J, Turner JM (1964) Topography of esophageal pressure as a function of posture in man. J Appl Physiol 19:212–216
8. Baydur A, Behrakis PK, Zin WA et al (1982) A simple method for assessing the validity of the esophageal balloon technique. Am Rev Respir Dis 126:788–791
9. Higgs BD, Behrakis PK, Bevan DR, Milic-Emili J (1983) Measurement of pleural pressure with esophageal balloon in anesthetized humans. Anesthesiology 59:340–343
10. Chiumello D, Consonni D, Coppola S et al (2016) The occlusion tests and end-expiratory esophageal pressure: measurements and comparison in controlled and assisted ventilation. Ann Intensive Care. 6(1):13
11. Niknam J, Chandra A, Adams AB, Nahum A, Ravenscraft SA, Marini JJ (1994) Effect of a nasogastric tube on esophageal pressure measurement in normal adults. Chest 106(1):137–141
12. Gattinoni L, Carlesso E, Cadringher P et al (2003) Physical and biological triggers of ventilator-induced lung injury and its prevention. Eur Respir J Suppl 47:15s–25s
13. Protti A, Andreis DT, Monti M et al (2013) Lung stress and strain during mechanical ventilation: any difference between statics and dynamics? Crit Care Med 41:1046–1055
14. Grasso S, Terragni P, Birocco A et al (2012) ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med 38:395–403
15. Chiumello D, Carlesso E, Cadringher P et al (2008) Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 178:346–355
16. Moreira LF, Aires ST, Gobbi CF et al (1995) Respiratory system, lung, and chest wall mechanics after longitudinal laparotomy in rats. Eur Respir J 8:105–108
17. Protti A, Cressoni M, Santini A et al (2011) Lung stress and strain during mechanical ventilation: any safe threshold? Am J Respir Crit Care Med 183:1354–1362
18. Cressoni M, Cadringher P, Chiurazzi C et al (2014) Lung inhomogeneity in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 189(2):149–158
19. Washko GR, O’Donnell CR, Loring SH (2006) Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. J Appl Physiol 100:753–758
20. Pelosi P, Goldner M, McKibben A et al (2001) Recruitment and derecruitment during acute respiratory failure: an experimental study. Am J Respir Crit Care Med 164:122–130
21. Slutsky AS, Ranieri VM (2013) Ventilator-induced lung injury. N Engl J Med 369:2126–2136
22. Talmor D, Sarge T, O’Donnell CR et al (2006) Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med 34:1389–1394
23. Talmor D, Sarge T, Malhotra A et al (2008) Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 359:2095–2104
24. Loring SH, Pecchiari M, Della Valle P et al (2010) Maintaining end-expiratory transpulmonary pressure prevents worsening of ventilator-induced lung injury caused by chest wall constriction in surfactant-depleted rats. Crit Care Med 38:2358–2364
25. Magder S (2015) Invasive hemodynamic monitoring. Crit Care Clin 31:67–87
26. Jardin F, Farcot JC, Boisante L, Curien N, Margairaz A, Bourdarias JP (1981) Influence of positive end-expiratory pressure on left ventricular performance. N Engl J Med 304:387–392
27. Marini JJ, Culver BH, Butler J (1981) Mechanical effect of lung distention with positive pressure on cardiac function. Am Rev Respir Dis 124:382–386
28. Nanas S, Magder S (1992) Adaptations of the peripheral circulation to PEEP. Am Rev Respir Dis 146:688–693
29. Lemaire F, Teboul JL, Cinotti L et al (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69:171–179
30. McGregor M (1979) Current concepts: pulsus paradoxus. N Engl J Med 301:480–482
31. Magder SA, Lichtenstein S, Adelman AG (1983) Effect of negative pleural pressure on left ventricular hemodynamics. Am J Cardiol 52:588–593
32. Buda AJ, Pinsky MR, Ingels NB et al (1979) Effect of intrathoracic pressure on left ventricular performance. N Engl J Med 301:453–459
33. Putensen C, Muders T, Varelmann D, Wrigge H (2006) The impact of spontaneous breathing during mechanical ventilation. Curr Opin Crit Care 12:13–18
34. Putensen C, Zech S, Wrigge H et al (2001) Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 164:43–49
35. Yoshida T, Uchiyama A, Matsuura N et al (2013) The comparison of spontaneous breathing and muscle paralysis in two different severities of experimental lung injury. Crit Care Med 41:536–545
36. Papazian L, Forel J-M, Gacouin A et al (2010) Neuromuscular blockers in early acute respiratory distress syndrome. N Engl J Med 363:1107–1116
37. Yoshida T, Torsani V, Gomes S et al (2013) Spontaneous effort causes occult pendelluft during mechanical ventilation. Am J Respir Crit Care Med 188:1420–1427
38. Colebatch HJ, Greaves IA, Ng CK (1979) Exponential analysis of elastic recoil and aging in healthy males and females. J Appl Physiol 47:683–691
39. Carteaux G, Mancebo J, Mercat A et al (2013) Bedside adjustment of proportional assist ventilation to target a predefined range of respiratory effort. Crit Care Med 41:2125–2132
40. Mead J, Smith JC, Loring SH (1985) Volume displacements of the chest wall and their mechanical significance. In: Roussos C, Macklem PT (eds) The thorax: Part A. M Dekker, New York, pp 369–392
41. Mancebo J, Isabey D, Lorino H et al (1995) Comparative effects of pressure support ventilation and intermittent positive pressure breathing (IPPB) in non-intubated healthy subjects. Eur Respir J 8:1901–1909
42. Sassoon CS, Light RW, Lodia R et al (1991) Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-piece during weaning from mechanical ventilation. Am Rev Respir Dis 143:469–475
43. Lessard MR, Lofaso F, Brochard L (1995) Expiratory muscle activity increases intrinsic positive end-expiratory pressure independently of dynamic hyperinflation in mechanically ventilated patients. Am J Respir Crit Care Med 151:562–569
44. Hussain SN, Graham R, Rutledge F, Roussos C (1986) Respiratory muscle energetics during endotoxic shock in dogs. J Appl Physiol 60:486–493
45. Goligher EC, Fan E, Herridge MS et al (2015) Evolution of diaphragm thickness during mechanical ventilation. Impact of inspiratory effort. Am J Respir Crit Care Med 192:1080–1088
46. Levine S, Nguyen T, Taylor N et al (2008) Rapid disuse atrophy of diaphragm fibers in mechanically ventilated humans. N Engl J Med 358:1327–1335
47. Reid WD, Belcastro AN (2000) Time course of diaphragm injury and calpain activity during resistive loading. Am J Respir Crit Care Med 162:1801–1806
48. Orozco-Levi M, Lloreta J, Minguella J, Serrano S, Broquetas JM, Gea J (2001) Injury of the human diaphragm associated with exertion and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 164:1734–1739
49. Ebihara S, Hussain SN, Danialou G, Cho WK, Gottfried SB, Petrof BJ (2002) Mechanical ventilation protects against diaphragm injury in sepsis: interaction of oxidative and mechanical stresses. Am J Respir Crit Care Med 165(2):221–228
50. Chao DC, Scheinhorn DJ, Stearn-Hassenpflug M (1997) Patient-ventilator trigger asynchrony in prolonged mechanical ventilation. Chest 112:1592–1599
51. de Wit M, Miller KB, Green DA et al (2009) Ineffective triggering predicts increased duration of mechanical ventilation. Crit Care Med 37:2740–2745
52. Thille AW, Rodriguez P, Cabello B et al (2006) Patient–ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 32:1515–1522
53. Blanch L, Villagra A, Sales B et al (2015) Asynchronies during mechanical ventilation are associated with mortality. Intensive Care Med 41:633–641
54. Thille AW, Cabello B, Galia F et al (2008) Reduction of patient–ventilator asynchrony by reducing tidal volume during pressure-support ventilation. Intensive Care Med 34:1477–1486
55. Colombo D, Cammarota G, Alemani M et al (2011) Efficacy of ventilator waveforms observation in detecting patient–ventilator asynchrony. Crit Care Med 39:2452–2457
56. Younes M, Brochard L, Grasso S et al (2007) A method for monitoring and improving patient:ventilator interaction. Intensive Care Med 33:1337–1346
57. ® system to detect ineffective efforts during expiration in mechanically ventilated patients: a pilot study. Intensive Care Med 38:772–780
58. Sinderby C, Liu S, Colombo D et al (2013) An automated and standardized neural index to quantify patient–ventilator interaction. Crit Care 17:R239
59. Akoumianaki E, Lyazidi A, Rey N et al (2013) Mechanical ventilation-induced reverse-triggered breaths: a frequently unrecognized form of neuromechanical coupling. Chest 143:927–938
60. Jubran A, Tobin MJ (1997) Pathophysiologic basis of acute respiratory distress in patients who fail a trial of weaning from mechanical ventilation. Am J Respir Crit Care Med 155:906–915
61. Tobin MJ, Laghi F, Jubran A (2012) Ventilatory failure, ventilator support, and ventilator weaning. Compr Physiol 2:2871–2921
62. Laghi F, Cattapan SE, Jubran A et al (2003) Is weaning failure caused by low-frequency fatigue of the diaphragm? Am J Respir Crit Care Med 167:120–127
63. Jubran A, Mathru M, Dries D, Tobin MJ (1998) Continuous recordings of mixed venous oxygen saturation during weaning from mechanical ventilation and the ramifications thereof. Am J Respir Crit Care Med 158:1763–1769
64. Cabello B, Thille AW, Roche-Campo F et al (2010) Physiological comparison of three spontaneous breathing trials in difficult-to-wean patients. Intensive Care Med 36:1171–1179
65. Jubran A, Grant BJB, Laghi F et al (2005) Weaning prediction: esophageal pressure monitoring complements readiness testing. Am J Respir Crit Care Med 171:1252–1259
66. Sinderby C, Navalesi P, Beck J et al (1999) Neural control of mechanical ventilation in respiratory failure. Nat Med 5:1433–1436
67. Beck J, Sinderby C, Lindström L, Grassino A (1998) Crural diaphragm activation during dynamic contractions at various inspiratory flow rates. J Appl Physiol 85:451–458
68. Beck J, Sinderby C, Lindström L, Grassino A (1998) Effects of lung volume on diaphragm EMG signal strength during voluntary contractions. J Appl Physiol 85:1123–1134
69. Sinderby C, Beck J, Spahija J et al (1998) Voluntary activation of the human diaphragm in health and disease. J Appl Physiol 85:2146–2158
70. Beck J, Gottfried SB, Navalesi P et al (2001) Electrical activity of the diaphragm during pressure support ventilation in acute respiratory failure. Am J Respir Crit Care Med 164:419–424
71. Mauri T, Grasselli G, Suriano G et al (2016) Control of respiratory drive and effort in extracorporeal membrane oxygenation patients recovering from severe acute respiratory distress syndrome. Anesthesiology. doi:10.1097/ALN.0000000000001103
72. Sinderby C, Spahija J, Beck J et al (2001) Diaphragm activation during exercise in chronic obstructive pulmonary disease. Am J Respir Crit Care Med 163:1637–1641
73. Bellani G, Mauri T, Coppadoro A et al (2013) Estimation of patient’s inspiratory effort from the electrical activity of the diaphragm. Crit Care Med 41:1483–1491
74. Liu L, Liu S, Xie J et al (2015) Assessment of patient–ventilator breath contribution during neurally adjusted ventilatory assist in patients with acute respiratory failure. Crit Care 19:43
75. Vaschetto R, Cammarota G, Colombo D et al (2014) Effects of propofol on patient–ventilator synchrony and interaction during pressure support ventilation and neurally adjusted ventilatory assist. Crit Care Med 42:74–82
76. Mauri T, Bellani G, Foti G et al (2011) Successful use of neurally adjusted ventilatory assist in a patient with extremely low respiratory system compliance undergoing ECMO. Intensive Care Med 37(1):166–167
77. Bellani G, Coppadoro A, Patroniti N et al (2014) Clinical assessment of auto-positive end-expiratory pressure by diaphragmatic electrical activity during pressure support and neurally adjusted ventilatory assist. Anesthesiology 121:563–571