Document Detail


The effects of ventilator working pressure during pressure support ventilation.
MedLine Citation:
PMID:  8432159     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to examine the consequences of altering ventilator working pressure on airway pressure and flow characteristics during pressure support ventilation (PSV). A ventilator (Siemens Servo 900C) and single lung simulator were used, and graphic read outs, in triplicate, were taken at a variety of combinations of PSV, working pressure, lung compliance, and airway resistance. The graphic read outs were then analyzed for a number of "dependent variables," and multiple regression analyses were performed using working pressure, PSV level, compliance, and resistance as "independent variables." The results show that the relative impact of working pressure on airway pressure and flow will vary with other lung and airway characteristics; also, excessive working pressure results in significantly greater flow rates at 40 ms after onset of inspiratory flow and at maximum flow, greater ringing or overshoot in the circuit, reduced tidal volume and inspiratory time, and reduced area under the airway pressure curve. In conclusion, adjusting ventilator working pressure will significantly affect lung-ventilator interaction in a quantifiable fashion. Further, these findings support clinical evidence that working pressure and/or initial flow rate need to be individualized to ensure optimal airway flow and pressure characteristics.
Authors:
I L Cohen; Z Bilen; S Krishnamurthy
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Chest     Volume:  103     ISSN:  0012-3692     ISO Abbreviation:  Chest     Publication Date:  1993 Feb 
Date Detail:
Created Date:  1993-03-12     Completed Date:  1993-03-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0231335     Medline TA:  Chest     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  588-92     Citation Subset:  AIM; IM    
Affiliation:
Department of Surgery, Albany Medical College, New York 12208.
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MeSH Terms
Descriptor/Qualifier:
Airway Resistance
Humans
Lung / physiology*
Lung Compliance
Models, Structural*
Pressure
Respiration, Artificial*

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


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