The DOI matches its Crossref record; 25 of the 25 references it cites were found in a registry or an index.
Esophageal Manometry and Regional Transpulmonary Pressure in Lung Injury
Abstract
RATIONALE: Esophageal manometry is the clinically available method to estimate pleural pressure, thus enabling calculation of transpulmonary pressure (Pl). However, many concerns make it uncertain in which lung region esophageal manometry reflects local Pl. OBJECTIVES: To determine the accuracy of esophageal pressure (Pes) and in which regions esophageal manometry reflects pleural pressure (Ppl) and Pl; to assess whether lung stress in nondependent regions can be estimated at end-inspiration from Pl. METHODS: In lung-injured pigs (n = 6) and human cadavers (n = 3), Pes was measured across a range of positive end-expiratory pressure, together with directly measured Ppl in nondependent and dependent pleural regions. All measurements were obtained with minimal nonstressed volumes in the pleural sensors and esophageal balloons. Expiratory and inspiratory Pl was calculated by subtracting local Ppl or Pes from airway pressure; inspiratory Pl was also estimated by subtracting Ppl (calculated from chest wall and respiratory system elastance) from the airway plateau pressure. MEASUREMENTS AND MAIN RESULTS: In pigs and human cadavers, expiratory and inspiratory Pl using Pes closely reflected values in dependent to middle lung (adjacent to the esophagus). Inspiratory Pl estimated from elastance ratio reflected the directly measured nondependent values. CONCLUSIONS: These data support the use of esophageal manometry in acute respiratory distress syndrome. Assuming correct calibration, expiratory Pl derived from Pes reflects Pl in dependent to middle lung, where atelectasis usually predominates; inspiratory Pl estimated from elastance ratio may indicate the highest level of lung stress in nondependent "baby" lung, where it is vulnerable to ventilator-induced lung injury.
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Self-citationEffect of a protective-ventilation strategy on mortality in the acute respiratory distress syndrome.
Amato, M. B. P., Barbas, C. S. V., Medeiros, D. M., Magaldi, R. B., Schettino, G. P., Lorenzi-Filho, G., Kairalla, R. A., Deheinzelin, D., Munoz, C., Oliveira, R., et al. (1998) · New England Journal of Medicine · doi:10.1056/nejm199802053380602 · Cited by 3,654
Self-citationDriving pressure and survival in the acute respiratory distress syndrome.
Amato, M. B. P., Meade, M. O., Slutsky, A. S., Brochard, L., Costa, E. L. V., Schoenfeld, D. A., Stewart, T. E., Briel, M., Talmor, D., Mercat, A., et al. (2015) · New England Journal of Medicine · doi:10.1056/nejmsa1410639 · Cited by 2,801
Self-citationMechanical ventilation guided by esophageal pressure in acute lung injury.
Talmor, D., Sarge, T., Malhotra, A., O'Donnell, C. R., Ritz, R., Lisbon, A., Novack, V., & Loring, S. H. (2008) · New England Journal of Medicine · doi:10.1056/nejmoa0708638 · Cited by 1,149
Tidal Hyperinflation during Low Tidal Volume Ventilation in Acute Respiratory Distress Syndrome
Terragni, P. P., Rosboch, G., Tealdi, A., Corno, E., Menaldo, E., Davini, O., Gandini, G., Herrmann, P., Mascia, L., Quintel, M., et al. (2007) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.200607-915oc · Cited by 820
The Application of Esophageal Pressure Measurement in Patients with Respiratory Failure
Akoumianaki, E., Maggiore, S. M., Valenza, F., Bellani, G., Jubran, A., Loring, S. H., Pelosi, P., Talmor, D., Grasso, S., Chiumello, D., et al. (2014) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.201312-2193ci · Cited by 635
Self-citationEsophageal and transpulmonary pressure in the clinical setting: meaning, usefulness and perspectives
Mauri, T., Yoshida, T., Bellani, G., Goligher, E. C., Carteaux, G., Rittayamai, N., Mojoli, F., Chiumello, D., Piquilloud, L., Grasso, S., et al. (2016) · Intensive Care Medicine · doi:10.1007/s00134-016-4400-x · Cited by 554
Self-citationRecruitment and Derecruitment During Acute Respiratory Failure: An Experimental Study
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Positive-end expiratory pressure titration and transpulmonary pressure: the EPVENT 2 trial
Turbil, E., Galerneau, L. M., Terzi, N., Schwebel, C., Argaud, L., & Guérin, C. (2019) · Journal of Thoracic Disease · doi:10.21037/jtd.2019.06.34 · Cited by 8
Metadata
- Authors
- Yoshida, T., Amato, M. B. P., Grieco, D. L., Chen, L., Lima, C. A. S., Roldan, R., Morais, C. C. A., Gomes, S., Costa, E. L. V., Cardoso, P. F. G., Charbonney, E., Richard, J.-C. M., Brochard, L., & Kavanagh, B. P.
- Venue
- American Journal of Respiratory and Critical Care Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2018-04-15
- Volume
- 197
- Issue
- 8
- Pages
- 1018-1026
- ISSN
- 1073-449X (ISSN-L)
- 1535-4970
- OpenAlex
- W2784003249
- Cited by
- 258
- References
- 25
- FWCI
- 21.31
- Type
- journal article
- Language
- en
- Open access
- closed
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