Esophageal Pressure Measurements in Patients With Acute Respiratory Distress Syndrome.

@article{Hofmann2016EsophagealPM,
  title={Esophageal Pressure Measurements in Patients With Acute Respiratory Distress Syndrome.},
  author={Grace Hofmann and Lutana Haan and Jeff Anderson},
  journal={Critical care nurse},
  year={2016},
  volume={36 5},
  pages={
          27-35
        }
}
Esophageal balloons are used in the respiratory monitoring of critical care patients. After the esophageal pressure is measured, the corresponding pleural pressure in the thorax can be projected, enabling lung-thorax compliance to be partitioned into chest-wall compliance and lung compliance. The esophageal balloon allows determination of transpulmonary pressures and a correspondingly individually tailored approach to respiratory care, such as patient-specific titration of positive end… 
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References

SHOWING 1-10 OF 29 REFERENCES
Mechanical ventilation guided by esophageal pressure in acute lung injury.
TLDR
A ventilator strategy using esophageal pressures to estimate the transpulmonary pressure significantly improves oxygenation and compliance and Multicenter clinical trials are needed to determine whether this approach should be widely adopted.
The application of esophageal pressure measurement in patients with respiratory failure.
TLDR
The time is now right to apply the knowledge obtained with Pes to improve the management of critically ill and ventilator-dependent patients, as Pes measurements have enhanced the understanding of the pathophysiology of acute lung injury, patient-ventilator interaction, and weaning failure.
Esophageal and gastric pressure measurements.
TLDR
The historical background, physiology, placement techniques, and potential clinical applications of esophageal and gastric pressure measurements are reviewed.
[Importance of pleural pressure for the evaluation of respiratory mechanics].
TLDR
In sedated or anesthetized patients without major respiratory compliance changes, esophageal pressure variation corresponds to pleural pressure variation when PEEP is applied, which may result in wrong respiratory mechanics calculation based on the esophagal pressure.
Measurement of esophageal pressure at bedside: pros and cons
  • L. Brochard
  • Medicine
    Current opinion in critical care
  • 2014
TLDR
Application of esophageal pressure monitoring is limited by technical issues, the need for background physiological knowledge and the fact that very few studies have assessed a direct influence of this measurement on patients’ outcome.
Validation of esophageal pressure occlusion test after paralysis
TLDR
It is suggested that it is possible to perform accurate occlusion tests in paralyzed subjects by abdominal or rib cage compression with the airway occluded.
Direct measurement of respiratory pleural pressure changes in normal man
TLDR
The previously observed decrease in lung compliance during acute central vascular engorgement is confirmed and evidence of local differences in respiratory pleural pressure change in man is provided.
Respiratory Mechanics in Mechanically Ventilated Patients
  • D. Hess
  • Medicine, Engineering
    Respiratory Care
  • 2014
TLDR
This paper covers both basic and advanced respiratory mechanics during mechanical ventilation, with a focus on the roles of stress and strain to assess the potential for lung injury duringMechanical ventilation.
How respiratory system mechanics may help in minimising ventilator-induced lung injury in ARDS patients
TLDR
Preliminary experimental and clinical studies show that the shape of the dynamic inspiratory pressure/time profile during constant flow inflation, allows prediction of a ventilatory strategy that minimises the occurrence of ventilator-induced lung injury.
Reduction of patient-ventilator asynchrony by reducing tidal volume during pressure-support ventilation
TLDR
Markedly reducing pressure support or inspiratory duration to reach a tidal volume of about 6 ml/kg predicted body weight eliminated ineffective triggering in two-thirds of patients with weaning difficulties and a high percentage of ineffective efforts without inducing excessive work of breathing or modifying patient respiratory rate.
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