Patient effort at a glance

Mia Shokry, Kimiyo Yamasaki

Cite

Shokry M, Yamasaki K. Patient effort at a glance. J Mech Vent 2021; 2(4):147-148.

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Patient effort at a glance

A: Patient with little effort.

Top: Volume Controlled Ventilation: airway pressure in cmH2O in yellow, constant flow in L/min in pink.

Middle: Pressure controlled ventilation: airway pressure in cmH2O in yellow, decelerating flow in L/min in pink.

Bottom: Esophageal pressure in cmH2O.

B: Patient with high effort.

Top: Volume Controlled Ventilation: airway pressure with convex negative deflection during trigger and first half of inspiration (blue arrow).

Middle: Pressure controlled ventilation: airway pressure with negative deflection during the trigger (yellow arrow) and slight convex deflection (green arrow), concave deflection in the flow (orange arrow).

Bottom: Convex deflection in esophageal pressure (grey arrow).

Keywords

Work of breathing, P0.1, Flow curve

References

1. de Vries H, Jonkman A, Shi ZH, et al. Assessing breathing effort in mechanical ventilation: physiology and clinical implications. Ann Transl Med 2018; 6(19):387.
https://doi.org/10.21037/atm.2018.05.53
PMid:30460261 PMCid:PMC6212364
2. Banner MJ, Jaeger MJ, Kirby RR. Components of the work of breathing and implications for monitoring ventilator-dependent patients. Crit Care Med 1994; 22(3):515-523.
https://doi.org/10.1097/00003246-199403000-00024
PMid:8125004
3 . Bellani G, Patroniti N, Weismann D, et al. Measurement of Pressure-Time Product during spontaneous assisted breathing by rapid interrupter technique. Anesthesiology 2007; 106:484-490.
https://doi.org/10.1097/00000542-200703000-00012
PMid:17325506
4 . Bellani G, Mauri T, Coppadoro A, et al. Estimation of patient’s inspiratory effort from the electrical activity of the diaphragm. Crit Care Med 2013; 41(6):1483-1491.
https://doi.org/10.1097/CCM.0b013e31827caba0
PMid:23478659
5 . Albani F, Pisani L, Ciabatti G, et al. Flow Index: a novel, non-invasive, continuous, quantitative method to evaluate patient inspiratory effort during pressure support ventilation. Crit Care 2021; 25(1):196.
https://doi.org/10.1186/s13054-021-03624-3
PMid:34099028 PMCid:PMC8182360