INTRINSIC PEEP ON STATIC PRESSURE-VOLUME CURVES

被引:18
作者
FERNANDEZ, R [1 ]
MANCEBO, J [1 ]
BLANCH, L [1 ]
BENITO, S [1 ]
CALAF, N [1 ]
NET, A [1 ]
机构
[1] HOSP SANTA CRUZ & SAN PABLO,INTENS CARE UNIT,BARCELONA,SPAIN
关键词
Chronic obstructive pulmonary disease; Mechanical ventilation; Pulmonary function tests;
D O I
10.1007/BF01705157
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
The static pressure volume (PV) curve of the total respiratory system is a well established method to assess pulmonary mechanics during respiratory failure. We have tested the impact of auto-PEEP on the PV curve determination in 16 COPD patients. An isovolumic pressure increment (IPI) was found at the beginning of the curve and a close correlation between IPI and auto-PEEP level (r=0.962)p<0.001) was observed. The regression equation was not significantly different from the identity line. We conclude that the appearance of IPI in PV curves is largely determined by auto-PEEP and it is a good estimate of the existing auto PEEP level. © 1990 Springer-Verlag.
引用
收藏
页码:233 / 236
页数:4
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