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Added inspiratory work of breathing during CPAP ventilation: comparison of two demand-valve devices with a continuous flow-system

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Abstract

Measurements of added inspiratory work (AIW) of breathing imposed by three different CPAP systems were performed in 10 patients. One system was a continuous flow system while the two others were demand flow systems separated from respirators (Ohmeda VD 101 and Draeger CPAP 800 devices). AIW was calculated from pressure and flow signals recorded at the mouthpiece level. The AIW calculated with the two demand-flow systems was found to be the same as the AIW calculated with the continuous flow system although the results obtained by the Draeger device were less constant. The results obtained with the Ohmeda device in our patients conflicted with data previously published using a lung model.

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References

  1. Behrakis PK, Higgs BD, Bevan DR, Milic-Emili J (1985) Partitioning of respiratory mechanics in halothane-anesthetized humans. J Appl Physiol 58:285

    Google Scholar 

  2. Gibney RT, Wilson RS, Pontoppidan H (1982) Comparison of work of breathing on high gas flow and demand valve continuous positive airway pressure systems. Chest 82:692

    Google Scholar 

  3. Katz JA, Kraemer RW, Gjerde GE (1985) Inspiratory work and airway pressure with continuous positive airway pressure delivery systems. Chest 88:519

    Google Scholar 

  4. Lafortuna CL, Minetti AE, Mognoni P (1984) Inspiratory flow in human. J Appl Physiol 57:1111

    Google Scholar 

  5. Otis AB (1964) The work of breathing. In: Fenn WO, Rahn H (eds) Handbook of physiology, vol 3. Respiration American Physiological Society Washington, p 463

    Google Scholar 

  6. Rivara D, Rieuf P, Harf A, Lemaire F (1980) Evaluation des dispositifs permettant la ventilation spontanée avec pression positive expiratoire. Ann Anesthesiol Fr 4:387

    Google Scholar 

  7. Venus B, Jacobs HK, Lim L (1979) Treatment of the adult respiratory distress syndrome with continuous positive airway pressure. Chest 76:257

    Google Scholar 

  8. Viale JP, Annat G, Bertrand O, Godard J, Motin J (1985) Additional inspiratory work in intubated patients breathing with continuous positive airway pressure systems. Anesthesiology 63:536

    Google Scholar 

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Viale, J.P., Annat, G., Percival, C. et al. Added inspiratory work of breathing during CPAP ventilation: comparison of two demand-valve devices with a continuous flow-system. Intensive Care Med 12, 374–377 (1986). https://doi.org/10.1007/BF00292929

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  • DOI: https://doi.org/10.1007/BF00292929

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