Accuracy of P0.1 measurements performed by ICU ventilators: a bench study.

Inspiratory effort Mechanical ventilation Occlusion pressure Respiratory drive Respiratory failure

Journal

Annals of intensive care
ISSN: 2110-5820
Titre abrégé: Ann Intensive Care
Pays: Germany
ID NLM: 101562873

Informations de publication

Date de publication:
13 Sep 2019
Historique:
received: 06 03 2019
accepted: 05 09 2019
entrez: 15 9 2019
pubmed: 15 9 2019
medline: 15 9 2019
Statut: epublish

Résumé

Occlusion pressure at 100 ms (P0.1), defined as the negative pressure measured 100 ms after the initiation of an inspiratory effort performed against a closed respiratory circuit, has been shown to be well correlated with central respiratory drive and respiratory effort. Automated P0.1 measurement is available on modern ventilators. However, the reliability of this measurement has never been studied. This bench study aimed at assessing the accuracy of P0.1 measurements automatically performed by different ICU ventilators. Five ventilators set in pressure support mode were tested using a two-chamber test lung model simulating spontaneous breathing. P0.1 automatically displayed on the ventilator screen (P0.1 Variations of P0.1 P0.1

Sections du résumé

BACKGROUND BACKGROUND
Occlusion pressure at 100 ms (P0.1), defined as the negative pressure measured 100 ms after the initiation of an inspiratory effort performed against a closed respiratory circuit, has been shown to be well correlated with central respiratory drive and respiratory effort. Automated P0.1 measurement is available on modern ventilators. However, the reliability of this measurement has never been studied. This bench study aimed at assessing the accuracy of P0.1 measurements automatically performed by different ICU ventilators.
METHODS METHODS
Five ventilators set in pressure support mode were tested using a two-chamber test lung model simulating spontaneous breathing. P0.1 automatically displayed on the ventilator screen (P0.1
RESULTS RESULTS
Variations of P0.1
CONCLUSION CONCLUSIONS
P0.1

Identifiants

pubmed: 31520230
doi: 10.1186/s13613-019-0576-x
pii: 10.1186/s13613-019-0576-x
pmc: PMC6744533
doi:

Types de publication

Journal Article

Langues

eng

Pagination

104

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Auteurs

François Beloncle (F)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France. francois.beloncle@univ-angers.fr.

Lise Piquilloud (L)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France.
Adult Intensive Care and Burn Unit, University Hospital and University of Lausanne, Lausanne, Switzerland.

Pierre-Yves Olivier (PY)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France.
Intensive Care Unit, General Hospital of Le Mans, Le Mans, France.

Alice Vuillermoz (A)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France.

Elise Yvin (E)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France.

Alain Mercat (A)

Medical Intensive Care Unit, University Hospital of Angers, UNIV Angers, 4 rue Larrey, 49933, Angers Cedex 9, France.

Jean-Christophe Richard (JC)

SAMU74, Emergency Department, General Hospital of Annecy, Annecy, France.
INSERM, UMR 1066, Creteil, France.

Classifications MeSH