Steven P Keller1, Henry E Fessler. 1. aDepartment of Critical Care, National Institutes of Health, Bethesda bDivision of Pulmonary and Critical Care Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.
Abstract
PURPOSE OF REVIEW: Studies in patients with acute respiratory distress syndrome (ARDS) have been unable to demonstrate a survival advantage with higher levels of positive end-expiratory pressure (PEEP) to open atelectatic lung regions or prevent their cyclic collapse. This review will discuss the challenges of accurately measuring pleural pressure with balloon-tipped catheters in the oesophagus, and the utility of such pressure monitoring to set PEEP and assess lung mechanics, focusing on patients with ARDS. RECENT FINDINGS: Recent investigations have suggested that the monitoring of oesophageal pressure in ARDS patients may help individualize PEEP settings to optimize lung recruitment based on transpulmonary pressure. SUMMARY: Changes in oesophageal pressure likely accurately reflect global changes in pleural pressure in supine patients with ARDS. However, absolute oesophageal pressure values in such patients may be subject to local artefacts and may substantially overestimate pleural pressure in other lung regions. Setting PEEP high enough to achieve a targeted end-expiratory transpulmonary pressure in the region of the oesophageal balloon catheter could overdistend other lung regions. Measurement of oesophageal pressure is feasible, but its clinical utility to titrate PEEP, compared with routine assessment, awaits experimental confirmation.
PURPOSE OF REVIEW: Studies in patients with acute respiratory distress syndrome (ARDS) have been unable to demonstrate a survival advantage with higher levels of positive end-expiratory pressure (PEEP) to open atelectatic lung regions or prevent their cyclic collapse. This review will discuss the challenges of accurately measuring pleural pressure with balloon-tipped catheters in the oesophagus, and the utility of such pressure monitoring to set PEEP and assess lung mechanics, focusing on patients with ARDS. RECENT FINDINGS: Recent investigations have suggested that the monitoring of oesophageal pressure in ARDSpatients may help individualize PEEP settings to optimize lung recruitment based on transpulmonary pressure. SUMMARY: Changes in oesophageal pressure likely accurately reflect global changes in pleural pressure in supine patients with ARDS. However, absolute oesophageal pressure values in such patients may be subject to local artefacts and may substantially overestimate pleural pressure in other lung regions. Setting PEEP high enough to achieve a targeted end-expiratory transpulmonary pressure in the region of the oesophageal balloon catheter could overdistend other lung regions. Measurement of oesophageal pressure is feasible, but its clinical utility to titrate PEEP, compared with routine assessment, awaits experimental confirmation.
Authors: Davide Chiumello; Dario Consonni; Silvia Coppola; Sara Froio; Francesco Crimella; Andrea Colombo Journal: Ann Intensive Care Date: 2016-02-12 Impact factor: 6.925