Correct placement of the esophageal catheter and balloon is critical for ensuring accurate transpulmonary pressure monitoring (TPM).
One of the greatest challenges when mechanically ventilating patients is finding the correct setting for positive end-expiratory pressure (PEEP). This task can be made easier by using transpulmonary pressure monitoring to distinguish between the pressure in the lungs and the chest wall components.
A recent physiological study demonstrated that esophageal pressure estimates the pleural pressure at mid-thorax at all levels of PEEP. Therefore, an absolute measurement of esophageal pressure is useful for setting PEEP and monitoring transpulmonary pressure.
While mechanical ventilation has been shown to result in a rapid loss of diaphragmatic strength in animals, there is less known about the time course of basis of ventilator-induced diaphragmatic weakness in humans.
我们的临床应用团队很高兴听到您对额外培训主题的任何建议。
Munir Karjaghli
临床应用专家
平台压工作组 (PLUG) 是一个由医生和研究者组成的国际网络,他们从事先进的机械通气和呼吸衰竭监测。
该工作组的目标是促进先进监测的研究和使用,讨论研究结果,以及提供教学工具。
PLUG 面向对此主题感兴趣的任何人开放,而且独立于任何制造商或私人公司。