Skip to main content

Pressure Support Ventilation in Patients With ALI/ARDS

  • Conference paper
Mechanical Ventilation

Part of the book series: Update in Intensive Care Medicine ((UICMSOFT))

  • 944 Accesses

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 74.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Fahey PJ, Vanderwarf C, David A (1985) Comparison of oxygen costs of breathing during weaning with continuous positive airway pressure versus pressure support ventilation. Am Rev Respir Dis 131suppl:A130 (abst)

    Google Scholar 

  2. MacIntyre N (1986) Respiratory function during pressure support ventilation. Chest 89:677–683

    PubMed  CAS  Google Scholar 

  3. Esteban A, Anzueto A, Alia I, et al. for the Mechanical Ventilation International Study Group (2000) How is mechanical ventilation employed in the intensive care unit? Am J Respir Crit Care Med 161:1450–1458

    PubMed  CAS  Google Scholar 

  4. Brochard L (1994) Pressure support ventilation. In: Martin J, Tobin MD (eds) Principles and Practice of Mechanical Ventilation. 1st edn. McGraw-Hill, New York 239–257

    Google Scholar 

  5. Brochard L, Harf A, Lorino H, Lemaire F (1989) Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 139:513–521

    PubMed  CAS  Google Scholar 

  6. Berger KI, Sorkin B, Norman RG (1996) Mechanism of relief of tachypnea during pressure support ventilation. Chest 109:1320–1327

    PubMed  CAS  Google Scholar 

  7. Van de Graaff WB, Gordey K, Dornseif SE, et al (1991) Pressure support: changes in ventilatory pattern and components of the work of breathing. Chest 100:1082–1089

    PubMed  Google Scholar 

  8. Alberti A, Gallo F, Fongaro A, Valenti S, Rossi A (1995) P0.1 is a useful parameter in setting the level of pressure support ventilation. Intensive Care Med 21:547–553

    Article  PubMed  CAS  Google Scholar 

  9. Brochard L, Rauss A, Benito S, et al (1994) Comparison of three methods of gradual withdrawal from ventilatory support during weaning from mechanical ventilation. Am J Respir Crit Care Med 150:896–903

    PubMed  CAS  Google Scholar 

  10. Esteban A, Frutos F, Tobin MJ et al (1995) A comparison of four methods of weaning patients from mechanical ventilation. N Engl J Med 332:345–350

    Article  PubMed  CAS  Google Scholar 

  11. Younes M, Puddy A, Roberts D, et al (1992) Proportional assist ventilation: results of an initial critical trial. Am Rev Respir Dis 145:121–129

    PubMed  CAS  Google Scholar 

  12. Mols G, von Ungern-Stenberg B, Rohr E, Haberthur C, Geiger K, Guttmann J (2000) Respiratory comfort and breathing pattern during volume proportional assist ventilation and pressure support ventilation: A study on volunteers with artificially reduced compliance. Crit Care Med 28:1940–1946

    PubMed  CAS  Google Scholar 

  13. Mols G, Rohr E, Benzing A, Haberthur C, Geiger K, Guttmann J (2000) Breathing pattern associated with respiratory comfort during automatic tube compensation and pressure support ventilation in normal subjects. Acta Anaesthesiol Scand 44:223–230

    Article  PubMed  CAS  Google Scholar 

  14. Le Bourdelles G, Viires N, Boczkowski J, Seta N, Pavlovic D, Aubier M (1994) Effects of mechanical ventilation on diaphragmatic contractile properties in rats. Am J Respir Crit Care Med 149:1539–1544

    PubMed  Google Scholar 

  15. Stewart KG (1989) Clinical evaluation of pressure support ventilation. Br J Anaesth 63:362–364

    PubMed  CAS  Google Scholar 

  16. Rossiter A, Souney PF, McGowan S (1991) Pancuronium induced prolonged neuromuscular blockade. CritCare Med 19:1583–1587

    CAS  Google Scholar 

  17. Putensen C, Räsänen J, Lopez FA (1994) Ventilation-perfusion distributions during mechanical ventilation with superimposed spontaneous breathing in canine lung injury. Am J Respir Crit Care Med 150:101–108

    PubMed  CAS  Google Scholar 

  18. Putensen C, Mutz N, PutensenHimmer G, Zinserling J (1999) Spontaneous breathing during ventilatory support improves ventilation-perfusion distributions in patients with acute respiratory distress syndrome. Am J Respir Crit Care Med 159:1241–1248

    PubMed  CAS  Google Scholar 

  19. Downs JB, Douglas ME, Sanfelippo PM et al (1977) Ventilatory pattern, intrapleural pressure, and cardiac output. Anesth Analg 56:88–96

    PubMed  CAS  Google Scholar 

  20. Froese AB, Bryan AC (1974) Effects of anesthesia and paralysis on diaprhagmatic mechanics in man. Anesthesiology 38:242–255

    Google Scholar 

  21. Putensen C, Zech S, Wrigge H, et al (2001) Long-term effects of spontaneous breathing during ventilatory support in patients with acute lung injury. Am J Respir Crit Care Med 164:43–49

    PubMed  CAS  Google Scholar 

  22. Tejeda M, Boix JH, Alvarez F, Balanzà R, Morales M (1997) Comparison of pressure support ventilation and assist-control ventilation in the treatment of respiratory failure. Chest 111:1322–1325

    PubMed  CAS  Google Scholar 

  23. Cereda M, Foti G, Marcora B, et al (2000) Pressure support ventilation in patients with acute lung injury. Crit Care Med 28:1269–1275

    PubMed  CAS  Google Scholar 

  24. Kramer N, Meyer TJ, Meharg J, et al (1995) Randomized prospective trial of non-invasive positive pressure ventilation in acute respiratory failure. Am J Respir Crit Care Med 151:1799–1806

    PubMed  CAS  Google Scholar 

  25. Brochard L, Mancebo J, Wysocki M, et al (1995) Noninvasive ventilation for acute exacerbations of chronic obstructive pulmonary disease. N Engl J Med 333:817–822.

    Article  PubMed  CAS  Google Scholar 

  26. Whitelaw WA, Derenne JP, Milic-Emili J (1975) Occlusion pressure as a measure of respiratory centers output in conscious man. Respir Physiol 23:181–199

    Article  PubMed  CAS  Google Scholar 

  27. Fernandez R, Cabrera J, Calaf N, Benito S (1990) P0.1/PIMax an index for assessing respiratory capacity in acute respiratory failure. Intensive Care Med 16:175–179

    PubMed  CAS  Google Scholar 

  28. Marshall R (1962) Relationship between stimulus and work of breathing at different lung volumes. J Appl Physiol 17:917–919

    Google Scholar 

  29. Conti G, Cinnella G, Barboni E, Lemaire F, Harf A, Brochard L (1996) Estimation of occlusion pressure during assisted ventilation in patients with intrinsic PEEP. Am J Respir Crit Care Med 154:907–912

    PubMed  CAS  Google Scholar 

  30. Kuhlen R, Hausmann S, Pappert D, Slama K, Roissant R, Falke K (1995) A new method for P0.1 measurement using standard respiratory equipment. Intensive Care Med 21:554–560

    Article  PubMed  CAS  Google Scholar 

  31. Yang KL, Tobin MJ (1991) A prospective study of indexes predicting the outcome of trials of weaning from mechanical ventilation. N Engl J Med 324:1445–1450

    Article  PubMed  CAS  Google Scholar 

  32. Sassoon CSH, Mahutte CK (1993) Airway occlusion pressure and breathing pattern as predictors of weaning outcome. Am Rev Respir Dis 148:860–866

    PubMed  CAS  Google Scholar 

  33. Brochard L, Harf A, Lorino H, Lemaire F (1989) Inspiratory pressure support prevents diaphragmatic fatigue during weaning from mechanical ventilation. Am Rev Respir Dis 139:513–521

    PubMed  CAS  Google Scholar 

  34. Marini JJ, Smith TC, Lamb V (1986) Estimation of inspiratory muscle strength in mechanically ventilated patients: the measurement of maximal inspiratory pressure. J Crit Care 1:32–38

    Google Scholar 

  35. Pesenti A, Pelosi P, Foti G, D’Andrea L, Rossi N (1992) An interrupter technique for measuring respiratory mechanics and the pressure generated by respiratory muscles during partial ventilatory support. Chest 102:918–923

    PubMed  CAS  Google Scholar 

  36. Foti G, Cereda M, Banfi G, Pelosi P, Fumagalli R, Pesenti A (1997) End-inspiratory airway occlusion: a method to assess the pressure developed by inspiratory muscles in patients with acute lung injury undergoing pressure support. Am J Respir Crit Care Med 156:1210–1216

    PubMed  CAS  Google Scholar 

  37. Foti G, Patroniti N, Cereda M, Sparacino ME, Giacomini M, Pesenti A (1995) Assessment of the airway occlusion method to estimate respiratory system compliance (Cpl,rs) during pressure support ventilation. Intensive Care Med 21(suppl 1):S133 (abst)

    Google Scholar 

  38. Truwit JD, Marini JJ (1988) Evaluation of thoracic mechanics in ventilated patients (pt. 2). J Crit Care 3:133–150

    Google Scholar 

  39. Bates JHT, Milic-Emili J (1991) The flow interruption technique for measuring respiratory resistance. J Crit Care 6:227–238

    Article  Google Scholar 

  40. Iotti GA, Braschi A, Brunner JX, et al (1995) Respiratory mechanics by least squares fitting in mechanically ventilated patients: applications during paralysis and during pressure support ventilation. Intensive Care Med 21:406–413

    Article  PubMed  CAS  Google Scholar 

  41. Smith TC, Marini JJ (1988) Impact of PEEP on lung mechanics and work of breathing in severe airflow obstruction. J Appl Physiol 65:1488–1499

    PubMed  CAS  Google Scholar 

  42. Gottfried SB, Reissman H, Ranieri VM (1992) A simple method for the measurement of intrinsic positive end-expiratory pressure during controlled and assisted modes of mechanical ventilation. Crit Care Med 20:621–628

    PubMed  CAS  Google Scholar 

  43. Kacmarek RM (1988) The role of pressure support ventilation in reducing work of breathing. Respir Care 33:99–120

    Google Scholar 

  44. Sassoon CSH, Light RW, Lodia R, Sieck GC, Mahutte K (1991) Pressure-time product during continuous positive airway pressure, pressure support ventilation, and T-Piece during weaning from mechanical ventilation. Am Rev Respir Dis 143:469–475

    PubMed  CAS  Google Scholar 

  45. Cereda M, Foti G, Mush G, Sparacino ME, Pesenti A (1996) Positive end-expiratory pressure prevents the loss of respiratory compliance during low tidal volume ventilation in acute lung injury patients. Chest 109:480–485

    PubMed  CAS  Google Scholar 

  46. Zeravik J, Borg U, Pfeiffer UJ (1990) Efficacy of pressure support ventilation dependent on extravascular lung water. Chest 97:1412–19

    PubMed  CAS  Google Scholar 

  47. Viale JP, Duperret S, Mahul P, et al (1998) Time course evolution of ventilatory responses to inspiratory unloading in patients. Am J Respir Crit Care Med 157:428–434

    PubMed  CAS  Google Scholar 

  48. Pesenti A, Rossi N, Calori A, Foti G, Rossi GP (1993) Effects of short oxygenation on acute lung injury patients undergoing pressure support ventilation. Chest 103:1185–1189

    PubMed  CAS  Google Scholar 

  49. Pelosi P, Cadringher P, Bottino N, et al (1999) Sigh in acute respiratory distress syndrome. Am J Respir Crit Care Med 159:872–880

    PubMed  CAS  Google Scholar 

  50. Foti G, Cereda M, Sparacino ME, De Marchi L, Villa F, Pesenti A (2000) Effects of periodic lung recruitment maneuvers on gas exchange and respiratory mechanics in mechanically ventilated acute respiratory distress syndrome patients. Intensive Care Med 26:501–507

    Article  PubMed  CAS  Google Scholar 

  51. Patroniti N, Foti G, Cortinovis B, et al (2002) Sigh improves gas exchange and lung volume in ARDS patients undergoing pressare support ventilation. Anesthesiology 96:788–94.

    Article  PubMed  Google Scholar 

  52. Antonelli M, Conti G, Rocco M, et al (1998) A comparison of noninvasive positive-pressure ventilation and conventional mechanical ventilation in patients with acute respiratory failure N Engl J Med 339:429–435

    Article  PubMed  CAS  Google Scholar 

  53. Wysocki M, Tric L, Wolff MA, et al (1995) Noninvasive pressure support ventilation in patients with acute respiratory failure: a randomized comparison with conventional therapy. Chest 107:761–768

    PubMed  CAS  Google Scholar 

  54. Keenan SP, Kernermann PD, Cook DJ, et al (1997) The effect of non invasive positive pressure ventilation on mortality in patients admitted with acute respiratory failure: a meta-analysis. Crit Care Med 25:1685–1692

    PubMed  CAS  Google Scholar 

  55. Messinger G, Banner MJ (1996) Tracheal pressure triggering a demand-flow continuous positive airway pressure system decreases patient work of breathing. Crit Care Med 24:1829–1834

    PubMed  CAS  Google Scholar 

  56. Messinger G, Banner MJ, Blanch PB, Layon AJ (1995) Using tracheal pressure to trigger the ventilator and control airway pressure during continuous positive airway pressure decreases work of breathing. Chest 108:509–514

    PubMed  CAS  Google Scholar 

  57. Barnard M, Shukla A, Lovell T, Goldstone J (1999) Esophageal-directed pressure support ventilation in normal volunteers. Chest 115:482–489

    Article  PubMed  CAS  Google Scholar 

  58. Sinderby C, Navaöeso P, Beck J, et al (1999) Neural control of mechanical ventilation in respiratory failure. Nature Med 5:1433–1436

    PubMed  CAS  Google Scholar 

  59. Yamada Y, Du H (1998) Effects of different pressure support termination on patient-ventilator synchrony. Respir Care 43:1048–1057

    Google Scholar 

  60. Yamada Y, Du H (2000) Analysis of the mechanisms of expiratory asynchrony in pressur support ventilation: a mathematical approach. J Appl Physiol 88:2143–2150

    PubMed  CAS  Google Scholar 

  61. Iotti GA, Brunner JX, Braschi A, et al (1996) Closed-loop control of airway pressure at 0.1 second (P0.1) applied to pressure support ventilation: algorithm and application in intubated patients. Crit Care Med 24:771–779

    PubMed  CAS  Google Scholar 

  62. Dojat M, Harf A, Touchard D, Lemaire F, Brochard L (2000) Clinical evaluation of a computer-controlled pressure support mode. Am J Respir Crit Care Med 161:1161–1166

    PubMed  CAS  Google Scholar 

  63. Nemoto T, Hatzakis GE, Thorpe CW, Olivenstein R, Dial S, Bates JHT (1999) Automatic control of pressure support mechanical ventilation using fuzzy logic. Am J Respir Crit Care Med 160:550–556

    PubMed  CAS  Google Scholar 

  64. Takeda S, Nakanishi K, Takano T, et al (1997) The combination of external high-frequency oscillation and pressure support ventilation in acute respiratory failure. Acta Anesthesiol Scand 41:670–674

    CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2005 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Patroniti, N., Cortinovis, B., Pesenti, A. (2005). Pressure Support Ventilation in Patients With ALI/ARDS. In: Slutsky, A.S., Brochard, L. (eds) Mechanical Ventilation. Update in Intensive Care Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-26791-3_25

Download citation

  • DOI: https://doi.org/10.1007/3-540-26791-3_25

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-20267-7

  • Online ISBN: 978-3-540-26791-1

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics