Calculating the work of breathing during mechanical ventilation

Mia Shokry, Melina Simonpietri, Kimi Yamasaki, Ehab G. Daoud

Cite

Shokry M, Simonpietri M, Yamasaki K, Daoud EG. Calculating the work of breathing during mechanical ventilation. J Mech Vent 2021; 2(2):71-72.

Abstract

Left figure: Passive patient esophageal pressure (Pes) in cmH2O on x-axis versus tidal volume in ml on y-axis. Green dashed line represents the chest wall compliance
Right figure: same patient actively breathing on pressure support ventilation. (Pes) in cmH2O on x-axis versus tidal volume in ml on y-axis. Green dashed line represents the chest wall compliance. Red shaded area is the Campbell diagram representing the inspiratory work of breathing

Keywords

Work of Breathing, Esophageal balloon, Compliance, chest wall

References

1. Iotti GA, Braschi A. Measurements of respiratory mechanics during mechanical ventilation. Hamilton Medical Scientific Library, Rhäzüns, Switzerland. 1999: 116-124.

2. Akoumianaki E, Maggiore SM, Valenza F, et al. The application of esophageal pressure measurement in patients with respiratory failure. Am J Respir Crit Care Med 2014; 189(5):520-531.

https://doi.org10.1164/rccm.201312-2193CI

PMID: 24467647