Abstract
Measurement of pulmonary mechanics is an accepted procedure in mechanically ventilated adults. Although most ventilator adjustments are adequately based on clinical, radiological, and blood gas assessments, many critically ill patients likely benefit from evaluation of mechanical properties, that allow to follow the progress of their condition, and evaluate treatment. Many publications on techniques for measuring the pulmonary function of children have appeared during the recent years; most of them were described in spontaneously breathing children, but only a few papers dealt with mechanically ventilated children. Furthermore, in several recent studies, the methods used were invasive (placement of an esophageal balloon), or needed disconnection from the ventilator, and thus cannot be proposed for routine use at the bedside. We will focus here on the clinical studies performed in mechanically ventilated children, with emphasis on their practical aspects, advantages, and problems.
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References
Vallinis P, Davis GM, Coates AL (1990) A very low dead space pneumatochograph for ven-tilatory measurements in newborns. J Appl Physiol 69:1542–1545
Seear M, Wensley D, Werner H (1991) Comparison of three methods for measuring respiratory mechanics in ventilated children. Pediatr Pulmonol 10:291–295
Lesouef PN, England SJ, Bryan AC (1984) Total resistance of the respiratory system in pre-term infants with an without an endotracheal tube. J Pediatr 104:108–111
Lesouef PN, England SJ, Bryan AC (1984) Passive respiratory mechanics in newborns and children. Am Rev Respir Dis 129:552–556
Guslits BG, Wilkie RA, England SJ, Bryan (1987) Comparison of methods of measurement of compliance of the respiratory system in children. Am Rev Respir Dis 136:727–729
Stocks J, Nothen U, Sutherland P, Hatch D, Helms P (1987) Improved accuracy of the occlusion technique for assessing total respiratory compliance in infants. Pediatr Pulmonol 3:71–77
Heaf DP, Turner H, Stocks J, Helms P (1987) Comparison of the occlusion and inflation techniques for measuring total respiratory compliance in sick, intubated infants. Pediatr Pul-monol 3:78–82
England SJ (1988) Current techniques for assessing pulmonary function in the newborn and infant: advantages and limitations. Pediatr Pulmonol 4:48–53
Dreizzen E, Migdal M, Praud JP, et al. (1989) Passive total respiratory system compliance and gas exchange in newborns with hyaline membrane disease. Pediatr Pulmonol 6:2–7
Olinsky A, Bryan AC, Bryan MH (1976) A simple method of measuring total respiratory system compliance in newborn infants. S Afr Med J 50:128–130
Mortola JP, Saetta M (1987) Measurements of respiratory mechanics in the newborn: A simple approach. Pediatr Pulmonol 3:123–130
Sly PD, Bates JHT, Milic-Emili J (1987) Measurement of respiratory mechanics using the Siemens Servo Ventilator 900 C. Pediatr Pumonol 3:400–405
Quanjer PhJ, Stocks J, Polgar G, Wise M, Karlberg J, Borsboom G (1989) Compilation of reference values for lung function measurements in children. Eur Respir J 2(Suppl 4): 184s-261s
Mortola JP, Fisher JT, Smith B, Fox G, Weeks S (1982) Dynamics of breathing in infants. J Appl Physiol 52:1209–1215
Gupta SK, Wagener JS, Erenberg A (1990) Pulmonary mechanics in healthy term neonates: Variability in measurements obtained with a computerized system. J Pediatr 117:603–606
Fletcher ME, Stack C, Ewart M, et al. (1991) Respiratory compliance during sedation, anesthesia, and paralysis of infants and young children. J Appl Physiol 70:1977–1982
Milic-Emili J, Eissa NT (1991) Assessment of respiratory mechanics in ICU patients. In: Vincent JL (ed) Update in intensive care and emergency medicine Vol 14; Springer-Verlag, Berlin-Heidelberg, p 324–328
Sly PD, Bate JHT (1988) Computer analysis of physical factors affecting the use of the interrupter technique in infants. Pediatr Pulmonol 4:219–224
Leclerc F, Riou Y, Storme L, Martinot A, Flurin V, Hue V (1991) Measurements of respiratory mechanics in mechanically ventilated children. V International Symposium on Pediatrie, Surgical, and Neonatal Intensive Care, Madrid, Spain
Storme L, Riou Y, Leclerc F, et al. (1992) Respiratory mechanics in mechanically ventilated newborns: A comparison between passive inflation and occlusion methods. Pediatr Pulmonol (in press)
Grunstein MM, Springer C, Godfrey S, et al. (1987) Expiratory volume clam**: A new method to assess respiratory mechanics in sedated infants. J Appl Physiol 62:2107–2114
Gerhardt T, Reifenberg L, Duara S, Bancalari E (1989) Comparison of dynamic and static measurements of respiratory mechanics in infants. J Pediatr 114:120–125
Tepper RS, Pagtakahn RD, Taussig LM (1984) Noninvasive determination of total respiratory system compliance in infants by the weighted-spirometer method. Am Rev Respir Dis 130:461–466
Mathe JC, Clement A, Chevalier JY, Gaultier C, Costil J (1987) Use of total inspiratory pressure-volume curves for determination of appropriate positive end-expiratory pressure in newborns with hyaline membrane disease. Intensive Care Med 13:332–336
Bates JHT, Rossi A, Milic-Emili J (1985) Analysis of the behavior of the respiratory system with constant inspiratory flow. J Appl Physiol 58:1840–1848
Bhutani VK, Sivieri EM, Abbasi S, Shaffer TH (1988) Evaluation of neonatal pulmonary mechanics and energetics: A two-factor least mean square analysis. Pediatr Pulmonol 4:150–158
Leclerc F, Riou Y, Martinot A, Flurin V, Hue V, Guerrin F (1992) Comparaison de deux méthodes d’évaluation de la mécanique ventilatoire chez l’enfant en ventilation contrôlée. Réan Soins Intens Med Urg (in press)
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Leclerc, F., Riou, Y., Storme, L. (1992). Evaluation of Pulmonary Mechanics in Mechanically Ventilated Children. In: Vincent, JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1992. Yearbook of Intensive Care and Emergency Medicine, vol 1992. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84734-9_42
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DOI: https://doi.org/10.1007/978-3-642-84734-9_42
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