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Erschienen in: Intensive Care Medicine 1/2008

01.01.2008 | Editorial

Why does airway pressure rise sometimes near the end of inflation during pressure support?

verfasst von: Magdy Younes

Erschienen in: Intensive Care Medicine | Ausgabe 1/2008

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Excerpt

Sir: Patient-ventilator non-synchrony is common [16] and may increase morbidity [4]. Some possible reasons for its adverse effects include increased need for sedation, sleep disruption, respiratory muscle injury and errors in assessing weanability (see [7] for review). …
Literatur
1.
Zurück zum Zitat Leung P, Jubran A, Tobin MJ (1997) Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 155:1940–1948PubMed Leung P, Jubran A, Tobin MJ (1997) Comparison of assisted ventilator modes on triggering, patient effort, and dyspnea. Am J Respir Crit Care Med 155:1940–1948PubMed
2.
Zurück zum Zitat Tobin MJ, Jubran A, Laghi F (2001) Patient-ventilator interaction. Am J Respir Crit Care Med 163:1059–1063PubMed Tobin MJ, Jubran A, Laghi F (2001) Patient-ventilator interaction. Am J Respir Crit Care Med 163:1059–1063PubMed
3.
Zurück zum Zitat Giannouli E, Webster K, Roberts D, Younes M (1999) Response of ventilator-dependent patients to different levels of pressure support and proportional assist. Am J Respir Crit Care Med 159:1716–1725PubMed Giannouli E, Webster K, Roberts D, Younes M (1999) Response of ventilator-dependent patients to different levels of pressure support and proportional assist. Am J Respir Crit Care Med 159:1716–1725PubMed
4.
Zurück zum Zitat Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L (2006) Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 32:1515–1522PubMedCrossRef Thille AW, Rodriguez P, Cabello B, Lellouche F, Brochard L (2006) Patient-ventilator asynchrony during assisted mechanical ventilation. Intensive Care Med 32:1515–1522PubMedCrossRef
5.
Zurück zum Zitat Younes M, Brochard L, Grasso S, Kun J, Mancebo J, Ranieri M, Richard JC, Younes H (2007) A method for monitoring and improving patient: ventilator interaction. Intensive Care Med 33:1337–1346PubMedCrossRef Younes M, Brochard L, Grasso S, Kun J, Mancebo J, Ranieri M, Richard JC, Younes H (2007) A method for monitoring and improving patient: ventilator interaction. Intensive Care Med 33:1337–1346PubMedCrossRef
6.
Zurück zum Zitat Kondili E, Xirouchaki N, Georgopoulos D (2007) Modulation and treatment of patient-ventilator dyssynchrony. Curr Opin Crit Care 13:84–89PubMedCrossRef Kondili E, Xirouchaki N, Georgopoulos D (2007) Modulation and treatment of patient-ventilator dyssynchrony. Curr Opin Crit Care 13:84–89PubMedCrossRef
7.
Zurück zum Zitat Younes M (2006) Proportional assist ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 335–364 Younes M (2006) Proportional assist ventilation. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 335–364
8.
Zurück zum Zitat Younes M (1993) Patient-ventilator interaction with pressure-assisted modalities of ventilatory support. Semin Resp Med 14:299–322CrossRef Younes M (1993) Patient-ventilator interaction with pressure-assisted modalities of ventilatory support. Semin Resp Med 14:299–322CrossRef
9.
Zurück zum Zitat Younes M (1995) Interactions between patients and ventilators. In: Roussos C (ed) The thorax, vol 85. Lung biology in health and disease. Dekker, New York, pp 2367–2420 Younes M (1995) Interactions between patients and ventilators. In: Roussos C (ed) The thorax, vol 85. Lung biology in health and disease. Dekker, New York, pp 2367–2420
10.
Zurück zum Zitat Yamada Y, Du HL (2000) Analysis of the mechanisms of expiratory asynchrony in pressure support ventilation: a mathematical approach. J Appl Physiol 88:2143–2150PubMed Yamada Y, Du HL (2000) Analysis of the mechanisms of expiratory asynchrony in pressure support ventilation: a mathematical approach. J Appl Physiol 88:2143–2150PubMed
11.
Zurück zum Zitat Parthasarathy S, Jubran A, Tobin MJ (1998) Cycling of inspiratory and expiratory muscle groups with the ventilator in airflow limitation. Am J Respir Crit Care Med 158:1471–1478PubMed Parthasarathy S, Jubran A, Tobin MJ (1998) Cycling of inspiratory and expiratory muscle groups with the ventilator in airflow limitation. Am J Respir Crit Care Med 158:1471–1478PubMed
12.
Zurück zum Zitat Jubran A, Van de Graaff WB, Tobin MJ (1995) Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 152:129–136PubMed Jubran A, Van de Graaff WB, Tobin MJ (1995) Variability of patient-ventilator interaction with pressure support ventilation in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 152:129–136PubMed
13.
Zurück zum Zitat Brochard L, Lellouche F (2006) Pressure support. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 221–250 Brochard L, Lellouche F (2006) Pressure support. In: Tobin MJ (ed) Principles and practice of mechanical ventilation. McGraw-Hill, New York, pp 221–250
14.
Zurück zum Zitat Xirouhaki N, Kondili E, Mitrouska I, Siafakas N, Georgopoulos D (1999) Response of respiratory motor output to varying pressure in mechanically ventilated patients. Eur Respir J 14:508–516PubMedCrossRef Xirouhaki N, Kondili E, Mitrouska I, Siafakas N, Georgopoulos D (1999) Response of respiratory motor output to varying pressure in mechanically ventilated patients. Eur Respir J 14:508–516PubMedCrossRef
15.
Zurück zum Zitat Younes M, Remmers J (1981) Control of tidal volume and respiratory frequency. In: Hornbein T (ed) Control of breathing, vol 17. Lung biology in health and disease. Dekker, New York, pp 617–667 Younes M, Remmers J (1981) Control of tidal volume and respiratory frequency. In: Hornbein T (ed) Control of breathing, vol 17. Lung biology in health and disease. Dekker, New York, pp 617–667
16.
Zurück zum Zitat von Euler C (1986) Brain stem mechanisms for generation and control of breathing pattern. In: Cherniack NS, Widdicombe JG (eds) The respiratory system, vol 2. Handbook of physiology. American Physiology Society, Bethesda, Maryland, pp 1–68 von Euler C (1986) Brain stem mechanisms for generation and control of breathing pattern. In: Cherniack NS, Widdicombe JG (eds) The respiratory system, vol 2. Handbook of physiology. American Physiology Society, Bethesda, Maryland, pp 1–68
17.
Zurück zum Zitat Agostoni E, D'Angelo E, Piolini M (1978) Breathing pattern in men during inspiratory elastic loads. Respir Physiol 34:279–293PubMedCrossRef Agostoni E, D'Angelo E, Piolini M (1978) Breathing pattern in men during inspiratory elastic loads. Respir Physiol 34:279–293PubMedCrossRef
18.
Zurück zum Zitat Agostoni E, Citterio G, D'Angelo E (1979) Decay rate of inspiratory muscle pressure during expiration in man. Respir Physiol 36:269–285PubMedCrossRef Agostoni E, Citterio G, D'Angelo E (1979) Decay rate of inspiratory muscle pressure during expiration in man. Respir Physiol 36:269–285PubMedCrossRef
19.
Zurück zum Zitat Agostoni E, Citterio G (1979) Relative decay rate of inspiratory muscle pressure and breath timing in man. Respir Physiol 38:335–346PubMedCrossRef Agostoni E, Citterio G (1979) Relative decay rate of inspiratory muscle pressure and breath timing in man. Respir Physiol 38:335–346PubMedCrossRef
20.
Zurück zum Zitat Prinianakis G, Plataki M, Kondili E, Klimathianaki M, Vaporidi K, Georgopoulos D (2007) Effects of relaxation of inspiratory muscles on ventilator pressure during pressure support. Intensive Care Med DOI 10.1007/s00134-007-0879-5 Prinianakis G, Plataki M, Kondili E, Klimathianaki M, Vaporidi K, Georgopoulos D (2007) Effects of relaxation of inspiratory muscles on ventilator pressure during pressure support. Intensive Care Med DOI 10.​1007/​s00134-007-0879-5
21.
Zurück zum Zitat Aliverti A, Cala SJ, Duranti R, Ferrigno G, Kenyon CM, Pedotti A, Scano G, Sliwinski P, Macklem PT, Yan S (1997) Human respiratory muscle actions and control during exercise. J Appl Physiol 83:1256–1269PubMed Aliverti A, Cala SJ, Duranti R, Ferrigno G, Kenyon CM, Pedotti A, Scano G, Sliwinski P, Macklem PT, Yan S (1997) Human respiratory muscle actions and control during exercise. J Appl Physiol 83:1256–1269PubMed
23.
Zurück zum Zitat Mead J, Agostoni E (1964) Dynamics of breathing. In: Fenn WO, Rahn H (eds) Handbook of physiology: respiration. American Physiological Society, Washington DC, pp 411–427 Mead J, Agostoni E (1964) Dynamics of breathing. In: Fenn WO, Rahn H (eds) Handbook of physiology: respiration. American Physiological Society, Washington DC, pp 411–427
Metadaten
Titel
Why does airway pressure rise sometimes near the end of inflation during pressure support?
verfasst von
Magdy Younes
Publikationsdatum
01.01.2008
Verlag
Springer-Verlag
Erschienen in
Intensive Care Medicine / Ausgabe 1/2008
Print ISSN: 0342-4642
Elektronische ISSN: 1432-1238
DOI
https://doi.org/10.1007/s00134-007-0932-4

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