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

Irene Telias| Felipe Damiani| Laurent Brochard
What's New in Intensive Care
Volume 44, Issue 9 / September , 2018

Pages 1532 - 1535

No abstract available.

References

  1. Brochard L, Slutsky A, Pesenti A (2017) Mechanical ventilation to minimize progression of lung injury in acute respiratory failure. Am J Respir Crit Care Med 195:438–442. https://doi.org/10.1164/rccm.201605-1081CP
    • View reference on publisher's website
    • View reference on PubMed
  2. Goligher EC, Dres M, Fan E et al (2017) Mechanical ventilation-induced diaphragm atrophy strongly impacts clinical outcomes. Am J Respir Crit Care Med. https://doi.org/10.1164/rccm.201703-0536OC
  3. 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
  4. Whitelaw WA, Derenne JP, Milic-Emili J (1975) Occlusion pressure as a measure of respiratory center output in conscious man. Respir Physiol 23:181–199. https://doi.org/10.1016/0034-5687(75)90059-6
    • View reference on publisher's website
    • View reference on PubMed
  5. Alberti A, Gallo F, Fongaro A et al (1995) P0.1 is a useful parameter in setting the level of pressure support ventilation. Intensive Care Med 21:547–553. https://doi.org/10.1007/BF01700158
  6. Mancebo J, Albaladejo P, Touchard D et al (2000) Airway occlusion pressure to titrate positive end-expiratory pressure in patients with dynamic hyperinflation. Anesthesiology 93:81–90. https://doi.org/10.1097/00000542-200007000-00016
    • View reference on publisher's website
    • View reference on PubMed
  7. Holle RH, Schoene RB, Pavlin EJ (1984) Effect of respiratory muscle weakness on P0.1 induced by partial curarization. J Appl Physiol 57:1150–1157. https://doi.org/10.1152/jappl.1984.57.4.1150
    • View reference on publisher's website
    • View reference on PubMed
  8. Kera T, Aihara A, Inomata T (2013) Reliability of airway occlusion pressure as an index of respiratory motor output. Respir Care 58:845–849. https://doi.org/10.4187/respcare.01717
    • View reference on PubMed
  9. Murciano D, Aubier M, Bussi S et al (1982) Comparison of esophageal, tracheal, and mouth occlusion pressure in patients with chronic obstructive pulmonary disease during acute respiratory failure. Am Rev Respir Dis 126:837–841. https://doi.org/10.1164/arrd.1982.126.5.837
    • View reference on PubMed
  10. Conti G, Cinnella G, Barboni E et al (1996) Estimation of occlusion pressure during assisted ventilation in patients with intrinsic PEEP. Am J Respir Crit Care Med 154:907–912. https://doi.org/10.1164/ajrccm.154.4.8887584
    • View reference on publisher's website
    • View reference on PubMed
  11. Telias IG, Junhasavasdikul D, Rittayamai N et al (2017) Accuracy of P0.1 displayed by modern ventilators—a bench study. Am J Respir Crit Care Med 195:A1881
  12. Rittayamai N, Beloncle F, Goligher EC et al (2017) Effect of inspiratory synchronization during pressure-controlled ventilation on lung distension and inspiratory effort. Ann Intensive Care 7:100. https://doi.org/10.1186/s13613-017-0324-z
    • View reference on publisher's website
    • View reference on PubMed
  13. Pletsch-Assuncao R, Caleffi Pereira M, Ferreira JG et al (2017) Accuracy of invasive and noninvasive parameters for diagnosing ventilatory overassistance during pressure support ventilation. Crit Care Med. https://doi.org/10.1097/CCM.0000000000002871
  14. Iotti GA, Brunner JX, Braschi A et al (1996) Closed-loop control of airway occlusion pressure at 0.1 second (P0.1) applied to pressure-support ventilation: algorithm and application in intubated patients. Crit Care Med 24:771–779
    • View reference on publisher's website
    • View reference on PubMed
  15. Mauri T, Grasselli G, Suriano G et al (2016) Control of respiratory drive and effort in extracorporeal membrane oxygenation patients recovering from severe acute respiratory distress syndrome. Anesthesiology 125:159–167. https://doi.org/10.1097/ALN.0000000000001103
    • View reference on publisher's website
    • View reference on PubMed
  16. Bellani G, Foti G, Spagnolli E et al (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 113:378–385. https://doi.org/10.1097/ALN.0b013e3181e81050
    • View reference on publisher's website
    • View reference on PubMed
  17. Fernandez R, Raurich JM, Mut T et al (2004) Extubation failure: diagnostic value of occlusion pressure (P0.1) and P0.1-derived parameters. Intensive Care Med 30:234–240. https://doi.org/10.1007/s00134-003-2070-y
  18. Sklar MC, Burns K, Rittayamai N et al (2017) Effort to breathe with various spontaneous breathing trial techniques. a physiologic meta-analysis. Am J Respir Crit Care Med 195:1477–1485. https://doi.org/10.1164/rccm.201607-1338OC
    • View reference on publisher's website
    • View reference on PubMed

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