Document Detail


Measurement of functional residual capacity by nitrogen washout during partial ventilatory support.
MedLine Citation:
PMID:  12595980     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Evaluation of an open circuit multiple breath nitrogen washout (MBNW) technique for measurement of functional residual capacity (FRC) during partial ventilatory support using corrections for gas viscosity, sampling delay time, and re-inspired nitrogen. DESIGN: Measurements in a lung model with known reference volume simulating spontaneous breathing and duplicate measurements in patients breathing spontaneously with partial ventilatory support. SETTING. Experimental laboratory and intensive care units of a university hospital. PATIENTS: Eighteen patients with acute respiratory failure. INTERVENTIONS: Change of FiO(2) from baseline to 1.0. MEASUREMENTS AND MAIN RESULTS: FRC was measured by MBNW during spontaneous breathing with continuous positive airway pressure, pressure support ventilation, proportional assist ventilation, automatic tube compensation, and airway pressure release ventilation. In the lung model, repeated measurements at three volumes were done with all partial ventilatory support modalities, and baseline FiO(2 )was varied with one mode and FRC. The mean of differences between MBNW (FRC(MBNW)) and reference was 28 ml (1.6%), and the 2.SD-interval was 84 ml (4.9%) for all modes. Measurements up to a baseline FiO(2) of 0.8 showed differences of 5 ml (-0.3%) and the 2.SD-interval of 38 ml (2.2%) between reference and FRC(MBNW). In 18 patients, 66 duplicate measurements revealed a mean difference of 30 ml (0.9%) with a coefficient of repeatability of 358 ml (13%) independent of ventilatory mode and chronological order. CONCLUSION: This study suggests that, using corrections for gas viscosity, sampling delay time, and re-inspired nitrogen, FRC can be determined with good repeatability in patients and good accuracy in a lung model during partial ventilatory support.
Authors:
Jörg Zinserling; Hermann Wrigge; Dirk Varelmann; Rudolf Hering; Christian Putensen
Publication Detail:
Type:  Journal Article     Date:  2003-02-21
Journal Detail:
Title:  Intensive care medicine     Volume:  29     ISSN:  0342-4642     ISO Abbreviation:  Intensive Care Med     Publication Date:  2003 May 
Date Detail:
Created Date:  2003-05-15     Completed Date:  2003-09-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7704851     Medline TA:  Intensive Care Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  720-6     Citation Subset:  IM    
Affiliation:
Klinik und Poliklinik für Anästhesiologie und Spezielle Intensivmedizin, Rheinische Friedrich-Wilhelms-Universität Bonn, Sigmund-Freud-Strasse 25, 53105 Bonn, Germany. jzinserling@uni-bonn.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Critical Care
Functional Residual Capacity*
Humans
Intensive Care Units
Middle Aged
Models, Biological*
Nitrogen / metabolism*
Pulmonary Gas Exchange*
Reproducibility of Results
Respiration, Artificial / instrumentation*
Respiratory Distress Syndrome, Adult / therapy*
Chemical
Reg. No./Substance:
7727-37-9/Nitrogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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