Pleural pressure and optimal positive end-expiratory pressure based on esophageal pressure versus chest wall elastance: Incompatible results

Critical Care Medicine

Volumn 41, Issue 8, 2013, Pages 1951-1957

  Gulati, Gaurav ^a   Novero, Aileen ^a   Loring, Stephen H ^a   Talmor, Daniel ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

Author keywords

Acute respiratory distress syndrome; Chest wall elastance; Esophageal pressure; Pleural pressure; Positive endexpiratory pressure; Ventilator induced lung injury

Indexed keywords

WATER;

ACUTE RESPIRATORY FAILURE; ADULT; ARTICLE; ARTIFICIAL VENTILATION; COMPLIANCE (PHYSICAL); ESOPHAGUS PRESSURE; FEMALE; HUMAN; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MALE; POSITIVE END EXPIRATORY PRESSURE; PRIORITY JOURNAL; PROCESS OPTIMIZATION; RESPIRATORY SYSTEM; RETROSPECTIVE STUDY; THORAX PRESSURE; THORAX WALL; TIDAL VOLUME;

EID: 85027947629     PISSN: 00903493     EISSN: 15300293     Source Type: Journal    
DOI: 10.1097/CCM.0b013e31828a3de5     Document Type: Article

References (22)

1. Slutsky AS: Lung injury caused by mechanical ventilation. Chest 1999; 116(1 Suppl):9S-15S
2. 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
3. Brower RG, Lanken PN, MacIntyre N, et al; National Heart, Lung, and Blood Institute ARDS Clinical Trials Network: Higher versus lower positive end-expiratory pressures in patients with the acute respiratory distress syndrome. N Engl J Med 2004; 351:327-336
4. Meade MO, Cook DJ, Guyatt GH, et al; Lung Open Ventilation Study Investigators: 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
5. Mercat A, Richard JC, Vielle B, et al; Expiratory Pressure (Express) Study Group: 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
6. Briel M, Meade M, Mercat A, et al: Higher vs lower positive end-expiratory pressure in patients with acute lung injury and acute respiratory distress syndrome: Systematic review and meta-analysis. JAMA 2010; 303:865-873
7. Knowles JH, Hong SK, Rahn H: Possible errors using esophageal balloon in determination of pressure-volume characteristics of the lung and thoracic cage. J Appl Physiol 1959; 14:525-530
8. Milic-Emili J, Mead J, Turner JM, et al: Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol 1964; 19:207-211
9. Gattinoni L, Chiumello D, Carlesso E, et al: Bench-to-bedside review: Chest wall elastance in acute lung injury/acute respiratory distress syndrome patients. Crit Care 2004; 8:350-355
10. 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
11. Staffieri F, Stripoli T, De Monte V, et al: Physiological effects of an open lung ventilatory strategy titrated on elastance-derived end-inspiratory transpulmonary pressure: Study in a pig model. Crit Care Med 2012; 40:2124-2131
12. Jardin F, Genevray B, Brun-Ney D, et al: Influence of lung and chest wall compliances on transmission of airway pressure to the pleural space in critically ill patients. Chest 1985; 88:653-658
13. Krebs J, Pelosi P, Tsagogiorgas C, et al: Effects of positive end-expiratory pressure on respiratory function and hemodynamics in patients with acute respiratory failure with and without intra-abdominal hypertension: A pilot study. Crit Care 2009; 13:R160
14. Stenqvist O, Grivans C, Andersson B, et al: Lung elastance and transpulmonary pressure can be determined without using oesophageal pressure measurements. Acta Anaesthesiol Scand 2012; 56:738-747
15. Mead J, Gaensler EA: Esophageal and pleural pressures in man, upright and supine. J Appl Physiol 1959; 14:81-83
16. Banchero N, Schwartz PE, Tsakiris AG, et al: Pleural and esophageal pressures in the upright body position. J Appl Physiol 1967; 23: 228-234
17. Pelosi P, Goldner M, McKibben A, et al: Recruitment and derecruitment during acute respiratory failure: An experimental study. Am J Respir Crit Care Med 2001; 164:122-130
18. 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 2010; 108:515-522
19. Kubiak BD, Gatto LA, Jimenez EJ, et al: Plateau and transpulmonary pressure with elevated intra-abdominal pressure or atelectasis. J Surg Res 2010; 159:e17-e24
20. Ranieri VM, Brienza N, Santostasi S, et al: Impairment of lung and chest wall mechanics in patients with acute respiratory distress syndrome: Role of abdominal distension. Am J Respir Crit Care Med 1997; 156(4, Part 1):1082-1091
21. Rylander C, Högman M, Perchiazzi G, et al: Functional residual capacity and respiratory mechanics as indicators of aeration and collapse in experimental lung injury. Anesth Analg 2004; 98:782-789
22. Grasso S, Fanelli V, Cafarelli A, et al: Effects of high versus low positive end-expiratory pressures in acute respiratory distress syndrome. Am J Respir Crit Care Med 2005; 171:1002-1008