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Critical Care
Published in: Critical Care 2/2000

01-04-2000 | Review

Measurement of pressure-volume curves in patients on mechanical ventilation: methods and significance

Authors: Qin Lu, Jean-Jacques Rouby

Published in: Critical Care | Issue 2/2000

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Abstract

Physiological background concerning mechanics of the respiratory system, techniques of measurement and clinical implications of pressure-volume curve measurement in mechanically ventilated patients are discussed in the present review. The significance of lower and upper inflection points, the assessment of positive end-expiratory pressure (PEEP)-induced alveolar recruitment and overdistension and rationale for optimizing ventilatory settings in patients with acute lung injury are presented. Evidence suggests that the continuous flow method is a simple and reliable technique for measuring pressure-volume curves at the bedside. In patients with acute respiratory failure, determination of lower and upper inflection points and measurement of respiratory compliance should become a part of the routine assessment of lung injury severity, allowing a bedside monitoring of the evolution of the lung disease and an optimization of mechanical ventilation.
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Metadata
Title
Measurement of pressure-volume curves in patients on mechanical ventilation: methods and significance
Authors
Qin Lu
Jean-Jacques Rouby
Publication date
01-04-2000
Publisher
BioMed Central
Published in
Critical Care / Issue 2/2000
Electronic ISSN: 1364-8535
DOI
https://doi.org/10.1186/cc662

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