Inspiratory effort and occlusion pressure in triggered mechanical ventilation

R. Fernández, S. Benito, J. Sanchis, J. Milic-Emili, A. Net

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Abstract

We have studied eleven patients ventilated in the assisted mode during recovery from acute respiratory failure. We have measured the effort required to trigger the pressure demand valve for 3 different ventilators, and have measured the occulusion pressure as an index of neuromuscular inspiratory drive. We found a delay in the opening of the demand valve, as previously described by other authors. We also found a close correlation between the effort required to open the demand valve and the occlusion pressure. We conclude that the inspiratory effort required to open the demand valve, in the assist mode, is greater than the preset trigger level and that it is well correlated with the neuromuscular inspiratory drive. This inspiratory effort against the closed demand valve, allows the measurement of the occlusion pressure. © 1988 Springer-Verlag.
Original languageEnglish
Pages (from-to)650-653
JournalIntensive Care Medicine
Volume14
Issue number6
DOIs
Publication statusPublished - 1 Oct 1988

Keywords

  • Inspiratory effort
  • Mechanical ventilation
  • Occlusion pressure

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    Fernández, R., Benito, S., Sanchis, J., Milic-Emili, J., & Net, A. (1988). Inspiratory effort and occlusion pressure in triggered mechanical ventilation. Intensive Care Medicine, 14(6), 650-653. https://doi.org/10.1007/BF00256771