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Yang YL, He X, Sun XM, et al. Optimal esophageal balloon volume for accurate estimation of pleural pressure at end-expiration and end-inspiration: an in vitro bench experiment. Intensive Care Med Exp. 2017;5(1):35doi: 10.1186/s40635-017-0148-z.
Yang, Y. L., He, X., Sun, X. M., Chen, H., Shi, Z. H., Xu, M., Chen, G. Q., & Zhou, J. X. (2017). Optimal esophageal balloon volume for accurate estimation of pleural pressure at end-expiration and end-inspiration: an in vitro bench experiment. Intensive care medicine experimental, 5(1), 35. https://doi.org/10.1186/s40635-017-0148-z
Yang, Yan-Lin, et al. "Optimal esophageal balloon volume for accurate estimation of pleural pressure at end-expiration and end-inspiration: an in vitro bench experiment." Intensive care medicine experimental vol. 5,1 (2017): 35. doi: https://doi.org/10.1186/s40635-017-0148-z
Yang YL, He X, Sun XM, Chen H, Shi ZH, Xu M, Chen GQ, Zhou JX. Optimal esophageal balloon volume for accurate estimation of pleural pressure at end-expiration and end-inspiration: an in vitro bench experiment. Intensive Care Med Exp. 2017 Dec;5(1):35. doi: 10.1186/s40635-017-0148-z. Epub 2017 Aug 02. PMID: 28770541; PMCID: PMC5540740.
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Intensive Care Med Exp. 2017 Dec;5(1):35. doi: 10.1186/s40635-017-0148-z. Epub 2017 Aug 02.

Optimal esophageal balloon volume for accurate estimation of pleural pressure at end-expiration and end-inspiration: an in vitro bench experiment.

Intensive care medicine experimental

Yan-Lin Yang, Xuan He, Xiu-Mei Sun, Han Chen, Zhong-Hua Shi, Ming Xu, Guang-Qiang Chen, Jian-Xin Zhou

Affiliations

  1. Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, No 6, Tiantan Xili, Dongcheng District, Beijing, 100050, China.
  2. Intensive Care Unit, Beijing Electric Power Hospital, Capital Medical University, Beijing, 100073, China.
  3. Surgical Intensive Care Unit, Fujian Provincial Clinical College Hospital, Fujian Medical University, Fuzhou, 350001, China.
  4. Department of Critical Care Medicine, Beijing Tiantan Hospital, Capital Medical University, No 6, Tiantan Xili, Dongcheng District, Beijing, 100050, China. [email protected].

PMID: 28770541 PMCID: PMC5540740 DOI: 10.1186/s40635-017-0148-z

Abstract

BACKGROUND: Esophageal pressure, used as a surrogate for pleural pressure, is commonly measured by air-filled balloon, and the accuracy of measurement depends on the proper balloon volume. It has been found that larger filling volume is required at higher surrounding pressure. In the present study, we determined the balloon pressure-volume relationship in a bench model simulating the pleural cavity during controlled ventilation. The aim was to confirm whether an optimal balloon volume range existed that could provide accurate measurement at both end-expiration and end-inspiration.

METHODS: We investigated three esophageal balloons with different dimensions and materials: Cooper, SmartCath-G, and Microtek catheters. The balloon was introduced into a glass chamber simulating the pleural cavity and volume-controlled ventilation was initiated. The ventilator was set to obtain respective chamber pressures of 5 and 20 cmH

RESULTS: Sigmoid regression of the balloon pressure-volume curve was justified by the dimensionless variable fitting and residual distribution analysis. All balloon transmural pressures were within ±1.0 cmH

CONCLUSIONS: In each of the tested balloon, an optimal filling volume range was found that provided accurate measurement during both end-expiratory and end-inspiratory occlusion.

Keywords: Balloon volume; Bench experiment; Esophageal balloon; Measurement; Sigmoid regression

References

  1. Am J Physiol. 1989 Dec;257(6 Pt 3):S9-10 - PubMed
  2. BMC Pharmacol. 2010 Jun 07;10:6 - PubMed
  3. Minerva Anestesiol. 2015 Aug;81(8):855-64 - PubMed
  4. Adv Physiol Educ. 2009 Mar;33(1):53-9 - PubMed
  5. Intensive Care Med Exp. 2016 Dec;4(1):26 - PubMed
  6. J Appl Physiol. 1964 Mar;19:207-11 - PubMed
  7. J Appl Physiol Respir Environ Exerc Physiol. 1980 Oct;49(4):735-42 - PubMed
  8. Am J Respir Crit Care Med. 2000 Feb;161(2 Pt 1):432-9 - PubMed
  9. J Appl Physiol. 1974 Oct;37(4):600-3 - PubMed
  10. J Appl Physiol. 1958 Nov;13(3):481-5 - PubMed
  11. Am J Respir Crit Care Med. 2005 Jun 1;171(11):1252-9 - PubMed
  12. J Appl Physiol (1985). 2001 Jul;91(1):201-10 - PubMed
  13. J Appl Physiol (1985). 1998 Jan;84(1):389-95 - PubMed
  14. Crit Care. 2016 Apr 11;20:98 - PubMed
  15. Crit Care. 2016 Aug 22;20:276 - PubMed
  16. Respir Care. 2007 Aug;52(8):989-95 - PubMed
  17. Am J Respir Crit Care Med. 2014 Mar 1;189(5):520-31 - PubMed
  18. Physiol Rep. 2015 Jun;3(6):null - PubMed
  19. J Appl Physiol. 1955 Mar;7(5):491-5 - PubMed
  20. Respir Care. 2014 Sep;59(9):1345-52 - PubMed
  21. Intensive Care Med. 2016 Sep;42(9):1360-73 - PubMed
  22. Crit Care Med. 2006 May;34(5):1389-94 - PubMed
  23. N Engl J Med. 2008 Nov 13;359(20):2095-104 - PubMed

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