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Durante la respirazione i muscoli inspiratori devono dar luogo ad una pressione sufficiente a sovrastare due forze: la frizione associata al flusso d’aria e l’incremento della pressione transpolmonare (Palv-Ppl).

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Letture consigliate

  • Appendini L, Patessio A, Zanaboni S et al (1994) Physiologic effects of positive end-expiratory pressure and mask pressure support during exacerbations of chronic obstructive pulmonary disease. Am J Respir Crit Care Med 149:1069–1076

    PubMed  CAS  Google Scholar 

  • Banner M, Lampotang S, Blanch P et al (1992) Mechanical Ventilation. In: Civetta J, Taylor R, Kirby R (eds) Critical Care. 2nd edition. JB Lippincott company Philadelphia, pp 1391–1412

    Google Scholar 

  • Banner MJ, Blanch PB, Kirby R (1993) Imposed work of breathing and methods of triggering a demand-flow, continuous positive airway pressure system. Crit Care Med 21:183–190

    PubMed  CAS  Google Scholar 

  • Banner MJ, Kirby RR, Gabrielli A et al (1994) Partially and totally unloading respiratory muscles based on realtime measurements of work of breathing: a clinical approach. Chest 106:1835–1842

    Article  PubMed  CAS  Google Scholar 

  • Banner MJ, Jaeger MJ, Kirby RR (1994) Components of the work of breathing and implications for monitoring ventilator dependent patients. Crit Care Med 22:515–523

    PubMed  CAS  Google Scholar 

  • Benito S, Vallverdu I, Mancebo J (1991) Which patients need a weaning technique? In: Marini JJ, Roussos C, Vincent IL (eds) Ventilatory failure. Springer-Verlag, Berlin-Heidelberg New York, pp 419–429

    Google Scholar 

  • Civetta JM (1993) Nosocomial respiratory failure. Crit Care Med 21:171–173

    Article  PubMed  CAS  Google Scholar 

  • D’Angelo E, Calderini E, Torri G et al (1989) Respiratory mechanics in anesthetized paralyzed humans: effects of flow, volume, and time. J Appl Physiol 67:2555–2564

    Google Scholar 

  • D’Angelo E, Milic Emili J (1995) Dynamics of respiratory system. In: Roussos C (ed) The thorax. Marcel Dekker, New York, pp 495–513

    Google Scholar 

  • Fiastro JF, Habib MP, Quan SF (1988) Pressure support compensation for inspiratory work due to endotracheal tubes and demand continuous positive airway pressure. Chest 93:499–505

    Article  PubMed  CAS  Google Scholar 

  • Gattinoni L, Mascheroni D, Torresin A et al (1986) Morphological response to positive end expiratory pressure in acute respiratory failure. Computerized tomography study. Intensive Care Medicine 12:137–142

    Article  PubMed  CAS  Google Scholar 

  • Georgopoulos D, Mistrouska I, Patakas D et al (1995) Effects of breathing pattern on mechanically ventilated patients with chronic obstructive pulmonary disease and dynamic hyperinflaction. Intensive Care Med 21:880–886

    Article  PubMed  CAS  Google Scholar 

  • Gottfried SB (1991) The role of PEEP in the mechanically ventilated COPD patient. In: Marini JJ, Roussos C, Vincent IL (eds) Ventilatory failure. Springer-Verlag, Berlin-Heidelberg New York, pp 392–418

    Google Scholar 

  • Guilleminault C (1978) State of the art. Sleep and control of breathing. Chest 73:293, 297–299

    Article  PubMed  CAS  Google Scholar 

  • Lemaire F, Harf A, Simonneau G (1981) Gas exchange, static pressure-volume curve and positive-pressure ventilation at the end of expiration: study of 16 cases of acute respiratory insufficiency in adults. An Anesth Fran 22:435–441

    CAS  Google Scholar 

  • Lemaire F, Teboul JL, Cinotti L et al (1988) Acute left ventricular dysfunction during unsuccessful weaning from mechanical ventilation. Anesthesiology 69:171–179

    Article  PubMed  CAS  Google Scholar 

  • Marini JJ (1990) Lung mechanics at the bedside: instrumentations and clinical application. Respir care 35:669–693

    Google Scholar 

  • Milic Emili J, Mead J, Turner JM et al (1964) Improved technique for estimating pleural pressure from esophageal balloons. J Appl Physiol 19:207–211

    PubMed  CAS  Google Scholar 

  • Nava S, Bruschi C, Rubini F et al (1995) Respiratory response and inspiratory effort during pressure support ventilation in COPD patients. Intensive Care Med 21:871–879

    Article  PubMed  CAS  Google Scholar 

  • Pinsky MR, Hrehock D, Culpepper JA et al (1988) Flow resistence of expiratory positivepressure systems. Chest 94:788–791

    Article  PubMed  CAS  Google Scholar 

  • Polese G, Massara A, Poggi R et al (1995) Flow-triggering reduces inspiratory effort during weaning from mechanical ventilation. Intensive Care med 2:682–686

    Article  Google Scholar 

  • Ranieri M, Giuliani R, Brienza N et al (1993) Physiologic effects of positive end-expiratory pressure in patients with chronic obstructive pulmonary disease during acute ventilatory failure and controlled mechanical ventilation. Am Rev Respir Dis 147:5–13

    PubMed  CAS  Google Scholar 

  • Rossi A, Gottfried SB, Zocchi L et al (1985) Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation. Am Rev Respir Dis 131:672–677

    PubMed  CAS  Google Scholar 

  • Rossi A, Polese G, Brandi G et al (1995) Intrinsic positive end-expiratory pressure (PEEPi). Intensive Care Med 21:522–536

    Article  PubMed  CAS  Google Scholar 

  • Roussos C, Campbell EJM (1986) Respiratory muscle energetics. In: Macklem PT, Mead J (eds). The respiratory system. Mechanics of breathing. Handbook of physiology. Vol 3. American Physiological Society, Washington DC, pp 481–509

    Google Scholar 

  • Suter PM, Fairley B, Isenberg MD (1975) Optimum end-expiratory airway pressure in patients with acute pulmonary failure. N Engl J Med 292:284–289

    Article  PubMed  CAS  Google Scholar 

  • Tiengo M (1977) Ventilazione ed assistenza respiratoria in anestesia e rianimazione. Edizioni libreria Cortina, Milano

    Google Scholar 

  • Tobin M, Lodato R (1989) PEEP, auto-PEEP, and waterfalls. Chest 96:449–450

    Article  PubMed  CAS  Google Scholar 

  • Vasilakopoulos T, Zakiuthinos S, Roussos C (1999) Strenuous resistive breathing induces proinflammatory cytokines and stimulates the HPA axis in humans. Am J Physiol 277:1013–1019

    Google Scholar 

  • Volta C, Gottfried SB, Milic Emili H et al (1995) Does acute hypercapnic respiratory failure imply inspiratory muscle fatigue? Intensive Care Med 21:S5

    Google Scholar 

  • Ward P, Webster K, Ludwig L et al (1996) Non-invasive positive-pressure ventilation in acute respiratory distress without prior chronic respiratory failure. Am J respir Crit Care Med 153:1005–1011

    Google Scholar 

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Terzano, C., Mollica, C. (2006). Meccanica respiratoria. In: Malattie dell’apparato respiratorio. Springer, Milano. https://doi.org/10.1007/978-88-470-0467-2_4

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  • DOI: https://doi.org/10.1007/978-88-470-0467-2_4

  • Publisher Name: Springer, Milano

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