Intensive Care Medicine

, Volume 34, Issue 12, pp 2235–2240 | Cite as

Measurement of end-expiratory lung volume by oxygen washin–washout in controlled and assisted mechanically ventilated patients

  • N. Patroniti
  • M. Saini
  • A. Zanella
  • D. Weismann
  • S. Isgrò
  • G. Bellani
  • G. Foti
  • A. Pesenti
Original

Abstract

Objective

Assessing limits of agreement with helium dilution and repeatability of a new system (lung funcution, LUFU) that measures end-expiratory lung volume (EELV) in mechanically ventilated patients using the O2 washin (EELVWin) and washout (EELVWout) technique. LUFU consists of an Evita 4 ventilator, a side-stream oxygen analyzer, and a dedicated PC software.

Design and setting

Prospective human study in a general ICU of a University hospital.

Patients

Thirty-six mechanically ventilated patients.

Interventions

We obtained 36 couples of both EELVWin and EELVWout measurements in each patient (5 with healthy lungs, 9 with ALI, 22 with ARDS). Measurements were obtained with patients ventilated either by assisted (ASB, 16 measurements) or controlled (CMV, 20 measurements) ventilation. In 19 of 20 cases in CMV, we obtained helium dilution measurements (EELVHe).

Measurements and results

Bias for agreement with EELVHe was −16 ± 156 and 8 ± 161 ml, respectively, for EELVWin and EELVWout. Bias for agreement between EELVWin and EELVWout was 28 ± 78 and 23 ± 168 ml, respectively, for CMV and ASB. During CMV bias for repeatability were 8 ± 92 and 23 ± 165 ml, respectively, for EELVWin and EELVWout. During ASB bias for repeatability were 32 ± 160 and −15 ± 147 ml, respectively, for EELVWin and EELVWout.

Conclusions

The LUFU method showed good agreement with helium, and good repeatability during partial and controlled mechanical ventilation. The technique is simple and safe.

Keywords

Oxygen washin–washout Functional residual capacity End-expiratory lung volume Helium dilution ARDS mechanical ventilation 

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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • N. Patroniti
    • 1
    • 3
  • M. Saini
    • 1
  • A. Zanella
    • 1
  • D. Weismann
    • 2
  • S. Isgrò
    • 1
  • G. Bellani
    • 1
  • G. Foti
    • 4
  • A. Pesenti
    • 1
  1. 1.Department of Experimental MedicineUniversity of Milano-Bicocca, Ospedale San Gerardo Nuovo dei TintoriMonzaItaly
  2. 2.Draegerwerk AGLuebeckGermany
  3. 3.Department of Experimental MedicineUniversity of Milano-Bicocca, Ospedale San Gerardo Nuovo dei TintoriMonzaItaly
  4. 4.Dipartimento di Medicina perioperatoriaOspedale San Gerardo Nuovo dei TintoriMonzaItaly

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