Skip Navigation

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow E-Letters: Submit a response to the article
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (10)
Right arrowRequest Permissions
Right arrow Disclaimer
Google Scholar
Right arrow Articles by Stenqvist, O.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stenqvist, O.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

British Journal of Anaesthesia, 2003, Vol. 91, No. 1 92-105
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Review Article

Practical assessment of respiratory mechanics

O. Stenqvist

Department of Anaesthesiology and Intensive Care, Sahlgrenska University Hospital, Göteborg, SwedenE-mail: ola.stenqvist@aniv.gu.se

Keywords: complications, acute respiratory distress syndrome; measurement techniques, respiratory

The first 150 words of the full text of this article appear below.

More than 30 years after its first description, mortality associated with the acute respiratory distress syndrome (ARDS) is still great, with reported rates between 30 and 60%.80 The range in mortality is partly because of the loose definition6 of both ARDS and acute lung injury (ALI), based on bilateral lung infiltrates on X-ray, a left ventricular filling pressure <18 mm Hg and a PaO2/FIO2 of <300 mm Hg (ALI) or <200 mm Hg (ARDS). No factors relating to lung mechanics are used in these definitions. Use of PEEP can easily move the patient from ARDS to ALI or even out of the definition completely. The vagueness of the definition is also indicated when mortality is the same in ALI and ARDS, not related to ventilator settings.49 50 However, Amato and colleagues2 showed that a ‘protective’ form of ventilation, in contrast to ‘normal’ ventilator treatment, reduced mortality from 71 to 38% . . . [Full Text of this Article]

Airway pressure

Calculated tracheal pressure
Direct tracheal pressure
Pressure–volume curves

Static/semistatic methods for P–V curves and loops
The super-syringe
The multiple occlusion technique
The low-flow inflation technique
Dynamic methods for P–V loops
Dynamic, proximal (to the endotracheal tube) P–V loops
The stress index method
Dynamic, distal (to the endotracheal tube) P–V loops
Dynamic alveolar P–V curves
Multiple linear regression
The dynostatic algorithm
Separation of respiratory mechanics into lung and chest wall elements
Oesophageal pressure measurements
Gastric pressure
Bladder pressure
Imaging methods
CT scanning
Electrical impedance tomography
Implications of respiratory monitoring for clinical management

Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Anesth. Analg.Home page
H. Heinze, B. Sedemund-Adib, M. Heringlake, U. W. Gosch, H. Gehring, and W. Eichler
The Impact of Different Step Changes of Inspiratory Fraction of Oxygen on Functional Residual Capacity Measurements Using the Oxygen Washout Technique in Ventilated Patients
Anesth. Analg., May 1, 2008; 106(5): 1491 - 1494.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
P. D. Macnaughton
New ventilators for the ICU--usefulness of lung performance reporting
Br. J. Anaesth., July 1, 2006; 97(1): 57 - 63.
[Abstract] [Full Text] [PDF]

Home page
 Br J AnaesthHome page
G. Mols, H.-J. Priebe, and J. Guttmann
Alveolar recruitment in acute lung injury
Br. J. Anaesth., February 1, 2006; 96(2): 156 - 166.
[Abstract] [Full Text] [PDF]