Esophageal and transpulmonary pressures in acute respiratory failure*
Critical Care MedicinePublished 15 March 2006Open access
Daniel Talmor, Todd Sarge, Carl R. O’Donnell, R Ritz, Atul Malhotra, Alan Lisbon
Citations264
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TL;DR
In patients in acute respiratory failure, elevated esophageal pressures suggest that chest wall mechanical properties often contribute substantially and unpredictably to total respiratory impedance, and therefore Pao may not adequately predict PL or lung distention.
Abstract
In patients in acute respiratory failure, elevated esophageal pressures suggest that chest wall mechanical properties often contribute substantially and unpredictably to total respiratory impedance, and therefore Pao may not adequately predict PL or lung distention. Systematic use of esophageal manometry has the potential to improve ventilator management in acute respiratory failure by providing more direct assessment of lung distending pressure.
Keywords
Medicine
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