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Erschienen in: Intensive Care Medicine 9/2018

19.01.2018 | What's New in Intensive Care

The airway occlusion pressure (P0.1) to monitor respiratory drive during mechanical ventilation: increasing awareness of a not-so-new problem

verfasst von: Irene Telias, Felipe Damiani, Laurent Brochard

Erschienen in: Intensive Care Medicine | Ausgabe 9/2018

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Excerpt

An inadequate respiratory drive under mechanical ventilation, either too high or too low, has recently been incriminated as a risk factor for both lung [1] and diaphragmatic injury [2]. Monitoring and controlling the drive to breathe might, therefore, be important for clinical practice. However, respiratory drive assessment has mostly been limited to research purposes, with few techniques available at the bedside [3]. A simple non-invasive measure, the airway occlusion pressure (P0.1), i.e. the pressure developed in the occluded airway 100 ms after the onset of inspiration (Fig. 1), was first described 40 years ago. Currently, nearly all modern ventilators provide a means of measuring P0.1. Despite having a better understanding of the importance of the respiratory drive during mechanical ventilation, no recommendations exist about its use.
Literatur
3.
Zurück zum Zitat Tobin MJ, Gardner W (1998) Monitoring the control of breathing. In: Tobin M (ed) Principles and practice of intensive care monitoring. McGraw-Hill, New York, pp 415–464 Tobin MJ, Gardner W (1998) Monitoring the control of breathing. In: Tobin M (ed) Principles and practice of intensive care monitoring. McGraw-Hill, New York, pp 415–464
11.
Zurück zum Zitat Telias IG, Junhasavasdikul D, Rittayamai N et al (2017) Accuracy of P 0.1 displayed by modern ventilators—a bench study. Am J Respir Crit Care Med 195:A1881 Telias IG, Junhasavasdikul D, Rittayamai N et al (2017) Accuracy of P 0.1 displayed by modern ventilators—a bench study. Am J Respir Crit Care Med 195:A1881
14.
Zurück zum Zitat Iotti GA, Brunner JX, Braschi A et al (1996) Closed-loop control of airway occlusion pressure at 0.1 second (P 0.1) applied to pressure-support ventilation: algorithm and application in intubated patients. Crit Care Med 24:771–779CrossRefPubMed Iotti GA, Brunner JX, Braschi A et al (1996) Closed-loop control of airway occlusion pressure at 0.1 second (P 0.1) applied to pressure-support ventilation: algorithm and application in intubated patients. Crit Care Med 24:771–779CrossRefPubMed
Metadaten
Titel
The airway occlusion pressure (P0.1) to monitor respiratory drive during mechanical ventilation: increasing awareness of a not-so-new problem
verfasst von
Irene Telias
Felipe Damiani
Laurent Brochard
Publikationsdatum
19.01.2018
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 9/2018
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-018-5045-8

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