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Alveolar Pressure/volume Curves Reflect Regional Lung Mechanics

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Intensive Care Medicine
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Abstract

The static pressure volume (P/V) curve has been regarded as the gold standard tool for assessment of the mechanical properties of the lung. On this curve, a lower inflection point (LIP) can be detected in some patients and in most patients an upper inflection point (UIP) can be seen. The most common interpretation of the LIP and the UIP is that LIP represents the point where alveoli collapse at the end of expiration and reopen at the start of inspiration and that the UIP represents the pressure above which alveoli become overdistended. It has been proposed that in order to avoid cyclic closing and opening and overdistension of alveoli, ventilation should be performed with pressures between the LIP and UIP, where the compliance of the lungs is highest.

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Stenqvist, O., Odenstedt, H. (2007). Alveolar Pressure/volume Curves Reflect Regional Lung Mechanics. In: Vincent, JL. (eds) Intensive Care Medicine. Springer, New York, NY. https://doi.org/10.1007/978-0-387-49518-7_37

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  • DOI: https://doi.org/10.1007/978-0-387-49518-7_37

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-0-387-49517-0

  • Online ISBN: 978-0-387-49518-7

  • eBook Packages: MedicineMedicine (R0)

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