Skip to main content
Erschienen in: Intensive Care Medicine 10/2017

13.03.2017 | What's New in Intensive Care

The ten pressures of the respiratory system during assisted breathing

verfasst von: T. Mauri, C. Guérin, R. Hubmayr

Erschienen in: Intensive Care Medicine | Ausgabe 10/2017

Einloggen, um Zugang zu erhalten

Excerpt

The mechanics of breathing are defined by the pressures which act on different parts of the respiratory system. Since, among them, only airway opening pressure (Pao) is typically monitored during assisted mechanical ventilation, their interplay and interpretation may confound clinicians. The aim of this paper is to review ten pressures during assisted breathing, focusing on pressure support ventilation (Fig. 1 ESM) in acute respiratory distress syndrome (ARDS). In addition to Pao, we identified the pressures reported in Table 1 ESM as the most relevant. …
Anhänge
Nur mit Berechtigung zugänglich
Literatur
1.
Zurück zum Zitat Mauri T, Yoshida T, Bellani G, Goligher EC, Carteaux G, Rittayamai N, Mojoli F, Chiumello D, Piquilloud L, Grasso S, Jubran A, Laghi F, Magder S, Pesenti A, Loring S, Gattinoni L, Talmor D, Blanch L, Amato M, Chen L, Brochard L, Mancebo J (2016) Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med 42:1360–1373CrossRefPubMed Mauri T, Yoshida T, Bellani G, Goligher EC, Carteaux G, Rittayamai N, Mojoli F, Chiumello D, Piquilloud L, Grasso S, Jubran A, Laghi F, Magder S, Pesenti A, Loring S, Gattinoni L, Talmor D, Blanch L, Amato M, Chen L, Brochard L, Mancebo J (2016) Esophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives. Intensive Care Med 42:1360–1373CrossRefPubMed
2.
Zurück zum Zitat Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA, Stewart TE, Briel M, Talmor D, Mercat A, Richard JC, Carvalho CR, Brower RG (2015) Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 372:747–755CrossRefPubMed Amato MB, Meade MO, Slutsky AS, Brochard L, Costa EL, Schoenfeld DA, Stewart TE, Briel M, Talmor D, Mercat A, Richard JC, Carvalho CR, Brower RG (2015) Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 372:747–755CrossRefPubMed
3.
Zurück zum Zitat Georgopoulos D, Xirouchaki N, Tzanakis N, Younes M (2016) Driving pressure during assisted mechanical ventilation: is it controlled by patient brain? Respir Physiol Neurobiol 228:69–75CrossRefPubMed Georgopoulos D, Xirouchaki N, Tzanakis N, Younes M (2016) Driving pressure during assisted mechanical ventilation: is it controlled by patient brain? Respir Physiol Neurobiol 228:69–75CrossRefPubMed
4.
Zurück zum Zitat 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 155:906–915CrossRefPubMed 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 155:906–915CrossRefPubMed
5.
Zurück zum Zitat Foti G, Cereda M, Banfi G, Pelosi P, Fumagalli R, Pesenti A (1997) End-inspiratory airway occlusion: a method to assess the pressure developed by inspiratory muscles in patients with acute lung injury undergoing pressure support. Am J Respir Crit Care Med 156:1210–1216CrossRefPubMed Foti G, Cereda M, Banfi G, Pelosi P, Fumagalli R, Pesenti A (1997) End-inspiratory airway occlusion: a method to assess the pressure developed by inspiratory muscles in patients with acute lung injury undergoing pressure support. Am J Respir Crit Care Med 156:1210–1216CrossRefPubMed
6.
Zurück zum Zitat Mancebo J, Albaladejo P, Touchard D, Bak E, Subirana M, Lemaire F, Harf A, Brochard L (2000) Airway occlusion pressure to titrate positive end-expiratory pressure in patients with dynamic hyperinflation. Anesthesiology 93:81–90CrossRefPubMed Mancebo J, Albaladejo P, Touchard D, Bak E, Subirana M, Lemaire F, Harf A, Brochard L (2000) Airway occlusion pressure to titrate positive end-expiratory pressure in patients with dynamic hyperinflation. Anesthesiology 93:81–90CrossRefPubMed
7.
Zurück zum Zitat Bellani G, Foti G, Spagnolli E, Milan M, Zanella A, Greco M, Patroniti N, Pesenti A (2010) Increase of oxygen consumption during a progressive decrease of ventilatory support is lower in patients failing the trial in comparison with those who succeed. Anesthesiology 113:378–385CrossRefPubMed Bellani G, Foti G, Spagnolli E, Milan M, Zanella A, Greco M, Patroniti N, Pesenti A (2010) Increase of oxygen consumption during a progressive decrease of ventilatory support is lower in patients failing the trial in comparison with those who succeed. Anesthesiology 113:378–385CrossRefPubMed
Metadaten
Titel
The ten pressures of the respiratory system during assisted breathing
verfasst von
T. Mauri
C. Guérin
R. Hubmayr
Publikationsdatum
13.03.2017
Verlag
Springer Berlin Heidelberg
Erschienen in
Intensive Care Medicine / Ausgabe 10/2017
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-017-4748-6

Weitere Artikel der Ausgabe 10/2017

Intensive Care Medicine 10/2017 Zur Ausgabe

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.