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Driving pressure: pitfalls of methods that do not use esophageal pressure measurement

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  1. Roca O, Goligher EC, Amato MBP (2023) Driving pressure: applying the concept at the bedside. Intensive Care Med.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Chen L, Grieco DL, Beloncle F, Chen GQ, Tiribelli N, Madotto F, Fredes S, Lu C, Antonelli M, Mercat A, Slutsky AS, Zhou JX, Brochard L (2022) Partition of respiratory mechanics in patients with acute respiratory distress syndrome and association with outcome: a multicentre clinical study. Intensive Care Med 48:888–898.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Chiumello D, Carlesso E, Cadringher P, Caironi P, Valenza F, Polli F, Tallarini F, Cozzi P, Cressoni M, Colombo A, Marini JJ, Gattinoni L (2008) Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 178:346–355.

    Article  PubMed  Google Scholar 

  4. Gattinoni L, Giosa L, Bonifazi M, Pasticci I, Busana M, Macri M, Romitti F, Vassalli F, Quintel M (2019) Targeting transpulmonary pressure to prevent ventilator-induced lung injury. Expert Rev Respir Med 13:737–746.

    Article  CAS  PubMed  Google Scholar 

  5. Bellani G, Grassi A, Sosio S, Foti G (2019) Plateau and driving pressure in the presence of spontaneous breathing. Intensive Care Med 45:97–98.

    Article  PubMed  Google Scholar 

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We would like to thank James R. Valera for his assistance with editing this manuscript.

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Correspondence to Shohei Ono.

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Ono, S. Driving pressure: pitfalls of methods that do not use esophageal pressure measurement. Intensive Care Med 49, 1147–1148 (2023).

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