Results 21 to 30 of about 8,150 (120)

Fundamental concepts and the latest evidence for esophageal pressure monitoring

Journal of Intensive Care, 2023
Transpulmonary pressure is an essential physiologic concept as it reflects the true pressure across the alveoli, and is a more precise marker for lung stress.
Tatsutoshi Shimatani, Miyako Kyogoku, Yukie Ito, Muneyuki Takeuchi, Robinder G. Khemani   +4 more
doaj   +1 more source

A novel non-invasive method to detect excessively high respiratory effort and dynamic transpulmonary driving pressure during mechanical ventilation

Critical Care, 2019
Background Excessive respiratory muscle effort during mechanical ventilation may cause patient self-inflicted lung injury and load-induced diaphragm myotrauma, but there are no non-invasive methods to reliably detect elevated transpulmonary driving ...
Michele Bertoni, Irene Telias, Martin Urner, Michael Long, Lorenzo Del Sorbo, Eddy Fan, Christer Sinderby, Jennifer Beck, Ling Liu, Haibo Qiu, Jenna Wong, Arthur S. Slutsky, Niall D. Ferguson, Laurent J. Brochard, Ewan C. Goligher   +14 more
doaj   +1 more source

Esophageal pressure balloon and transpulmonary pressure monitoring in airway pressure release ventilation: a different approach

Canadian Journal of Respiratory Therapy, 2018
This is a case of Acute Respiratory Distress Syndrome managed using esophageal balloon catheter to adjust inspiratory pressure and positive end expiratory pressure according to the inspiratory and expiratory transpulmonary pressures. There are no studies
Daoud Ehab G., Yamasaki Kimiyo H., Nakamoto Keith, Wheatley Denise   +3 more
doaj   +1 more source

Continuous external negative pressure improves oxygenation and respiratory mechanics in Experimental Lung Injury in Pigs – A pilot proof-of-concept trial

Intensive Care Medicine Experimental, 2020
Background Continuous external negative pressure (CENP) during positive pressure ventilation can recruit dependent lung regions. We hypothesised that CENP applied regionally to the thorax or the abdomen only, increases the caudal end-expiratory ...
Martin Scharffenberg, Jakob Wittenstein, Moritz Herzog, Sebastian Tauer, Luigi Vivona, Raphael Theilen, Thomas Bluth, Thomas Kiss, Thea Koch, Giuseppe Fiorentino, Marcelo Gama de Abreu, Robert Huhle   +11 more
doaj   +1 more source

The future of mechanical ventilation: lessons from the present and the past

Critical Care, 2017
The adverse effects of mechanical ventilation in acute respiratory distress syndrome (ARDS) arise from two main causes: unphysiological increases of transpulmonary pressure and unphysiological increases/decreases of pleural pressure during positive or ...
Luciano Gattinoni, John J. Marini, Francesca Collino, Giorgia Maiolo, Francesca Rapetti, Tommaso Tonetti, Francesco Vasques, Michael Quintel   +7 more
doaj   +1 more source

New onset atrial fibrillation during orthotopic liver transplantation induced by iced saline injection for transpulmonary thermodilution: a case report

Journal of International Medical Research, 2022
Transpulmonary thermodilution is often used to measure extravascular lung water during liver transplantation. Here, the case of new onset atrial fibrillation during orthotopic liver transplantation, which may have been induced by iced saline injection ...
Xin Li, Xu Wang, Zheng Guan
doaj   +1 more source

Successive perioperative management of laparoscopic liver resection in the reverse Trendelenburg position for a patient with Fontan physiology: a case report

JA Clinical Reports, 2021
Background Laparoscopic surgery for a patient with Fontan physiology is challenging because pneumoperitoneum and positive pressure ventilation could decrease venous return and the accumulated partial pressure of arterial carbon dioxide (PaCO2) could ...
Kazutomo Saito, Hiroaki Toyama, Moeka Saito, Masanori Yamauchi   +3 more
doaj   +1 more source

Goal-Directed Mechanical Ventilation: Are We Aiming at the Right Goals? A Proposal for an Alternative Approach Aiming at Optimal Lung Compliance, Guided by Esophageal Pressure in Acute Respiratory Failure

Critical Care Research and Practice, 2012
Patients with acute respiratory failure and decreased respiratory system compliance due to ARDS frequently present a formidable challenge. These patients are often subjected to high inspiratory pressure, and in severe cases in order to improve ...
Arie Soroksky, Antonio Esquinas
doaj   +1 more source

A case requiring re-thoracotomy due to a significant reduction of tidal volume after commencement of chest tube drainage under pressure control ventilation following lower lobectomy

JA Clinical Reports, 2022
Background The use of pressure-controlled ventilation (PCV) during one lung ventilation (OLV) has been popular to avoid high airway pressure. We experienced a case of a significant reduction of tidal volume (TV) after commencement of chest tube drainage ...
Taichi Shiraishi, Shinju Obara, Takahiro Hakozaki, Tsuyoshi Isosu, Satoki Inoue   +4 more
doaj   +1 more source

Oesophageal pressure as a surrogate of pleural pressure in mechanically ventilated patients

ERJ Open Research, 2021
Background Oesophageal pressure (Poes) is used to approximate pleural pressure (Ppl) and therefore to estimate transpulmonary pressure (PL). We aimed to compare oesophageal and regional pleural pressures and to calculate transpulmonary pressures in a ...
Antoine Tilmont, Benjamin Coiffard, Takeshi Yoshida, Florence Daviet, Karine Baumstarck, Geoffrey Brioude, Sami Hraiech, Jean-Marie Forel, Antoine Roch, Laurent Brochard, Laurent Papazian, Christophe Guervilly   +11 more
doaj   +1 more source