To the top

Page Manager: Webmaster
Last update: 9/11/2012 3:13 PM

Tell a friend about this page
Print version

End-expiratory lung volum… - University of Gothenburg, Sweden Till startsida
Sitemap
To content Read more about how we use cookies on gu.se

End-expiratory lung volume and ventilation distribution with different continuous positive airway pressure systems in volunteers.

Journal article
Authors Bertil Andersson
Stefan Lundin
Sophie Lindgren
Ola Stenqvist
Helena Odenstedt Hergès
Published in Acta anaesthesiologica Scandinavica
Volume 55
Issue 2
Pages 157-64
ISSN 1399-6576
Publication year 2011
Published at Institute of Clinical Sciences, Department of Anesthesiology and Intensive care
Pages 157-64
Language en
Links dx.doi.org/10.1111/j.1399-6576.2010...
Keywords Adult, Air Pressure, Continuous Positive Airway Pressure, instrumentation, Electric Impedance, Expiratory Reserve Volume, physiology, Female, Humans, Male, Middle Aged, Nitrogen, diagnostic use, Respiratory Mechanics, physiology, Supine Position, physiology, Tidal Volume
Subject categories Anesthesiology and Intensive Care

Abstract

Background: Continuous positive airway pressure (CPAP) has been shown to improve oxygenation and a number of different CPAP systems are available. The aim of this study was to assess lung volume and ventilation distribution using three different CPAP techniques. Methods: A high-flow CPAP system (HF-CPAP), an ejector-driven system (E-CPAP) and CPAP using a Servo 300 ventilator (V-CPAP) were randomly applied at 0, 5 and 10 cmH2O in 14 volunteers. End-expiratory lung volume (EELV) was measured by N2 dilution at baseline; changes in EELV and tidal volume distribution were assessed by electric impedance tomography. Results: Higher end-expiratory and mean airway pressures were found using the E-CPAP vs. the HF-CPAP and the V-CPAP system (P<0.01). EELV increased markedly from baseline, 0 cmH2O, with increased CPAP levels: 1110±380, 1620±520 and 1130±350 ml for HF-, E- and V-CPAP, respectively, at 10 cmH2O. A larger fraction of the increase in EELV occurred for all systems in ventral compared with dorsal regions (P<0.01). In contrast, tidal ventilation was increasingly directed toward dorsal regions with increasing CPAP levels (P<0.01). The increase in EELV as well as the tidal volume redistribution were more pronounced with the E-CPAP system as compared with both the HF-CPAP and the V-CPAP systems (P<0.05) at 10 cmH2O. Conclusion: EELV increased more in ventral regions with increasing CPAP levels, independent of systems, leading to a redistribution of tidal ventilation toward dorsal regions. Different CPAP systems resulted in different airway pressure profiles, which may result in different lung volume expansion and tidal volume distribution.

Page Manager: Webmaster|Last update: 9/11/2012
Share:

The University of Gothenburg uses cookies to provide you with the best possible user experience. By continuing on this website, you approve of our use of cookies.  What are cookies?