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Curr Opin Crit Care. 2007 Jun;13(3):332-7.

Bedside evaluation of pressure-volume curves in patients with acute respiratory distress syndrome.

Author information

1
Critical Care Center, Hospital de Sabadell, Institut Universitari Fundació Parc Taulí, Universitat Autónoma de Barcelona, Sabadell, Spain. lblanch@cspt.es

Abstract

PURPOSE OF REVIEW:

To describe the physiologic and diagnostic utility of static pressure-volume curves of the respiratory system at the bedside in patients with acute lung injury or acute respiratory distress syndrome.

RECENT FINDINGS:

The pressure-volume curve of the respiratory system is a useful tool for the measurement of respiratory system mechanics in patients with acute lung injury or acute respiratory distress syndrome. The pressure-volume curve has a sigmoid shape, with lower and upper points on the inspiratory limb and a point of maximum curvature on the expiratory limb. Visual and mathematical pressure-volume curve analysis may be useful for understanding individual lung mechanics and for selecting ventilator settings. Among the different techniques for acquiring pressure-volume curves at the bedside, the constant slow flow method is the simplest to perform, the most clinically reliable and has the fewest limitations.

SUMMARY:

Measurement of pressure-volume curves at the bedside in critically ill patients with acute lung injury or acute respiratory distress syndrome should be considered a useful respiratory monitoring tool to assess physiologic lung status and to adjust ventilator settings, when appropriate, to minimize superimposed lung injury associated with mechanical ventilators.

PMID:
17468567
DOI:
10.1097/MCC.0b013e32811e14f2
[Indexed for MEDLINE]

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