Skip to main content
SpringerLink
Log in

Lungenmechanik

  • Chapter
Monitoring

Zusammenfassung

Unter apparativer Beatmung wird die ventilatorische Pumpfunktion vorübergehend übernommen; sie sollte daher aufmerksam überwacht werden. Überwachungsverfahren können eingesetzt werden zur Kontrolle des Verlaufs (z.B. Ausmaß der Lungenschädigung, Ermüdungszustand der Atemmuskulatur) sowie zur Unterstützung von Therapieentscheidungen (z. B. Beginn des Weaning).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 54.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 69.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. Aubier M (1987) Role of respiratory muscles in weaning. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 3: Update 1987. Springer, Berlin Heidelberg New York Tokyo, pp 240–249

    Google Scholar 

  2. Aubiert M, Murciano D, Lecocguic Y, Viires N, Pariente R (1985) Bilateral phrenic stimulation: a simple technique to assess diaphragmatic fatigue in humans. J Appl Physiol 58:58–64

    Article  Google Scholar 

  3. 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

    PubMed  CAS  Google Scholar 

  4. Benito S, Lemaire F, Mankikian B, Harf A (1985) Total respiratory compliance as a function of lung volume in patients with mechanical ventilation. Intensive Care Med 11:76–79

    PubMed  CAS  Google Scholar 

  5. Benito S, Mancebo J (1988) Thoraco-pulmonary pressure/volume relationship during mechanical ventilation. In: Vincent JL (ed) Update in intensive care and emergency medicine, vol 5: Update 1988. Springer, Berlin Heidelberg New York Tokyo, pp 744–752

    Google Scholar 

  6. Brunner JX, Langenstein H, Wolff G (1985) A simple method for estimating compliance. Crit Care Med 13:675–678

    Article  PubMed  CAS  Google Scholar 

  7. Burchardi H, Schellstede A, Faltenbacher B, Stelzner J (1976) Analysis of respiratory resistance during artificial ventilation by means of pressure vs. flow diagrams. In: Ulmer WT (Hrsg) Atmungsregulation. Bochum Verhandlungen der Gesellschaft für Lungen-und Atmungsforschung, Bd 6, S 74–87)

    Google Scholar 

  8. Criee CP (1988) Analysis of inspiratory mouth pressures. Prax Klin Pneumol 42:820–826

    PubMed  Google Scholar 

  9. Demedts M, Clement J, Stanescu DC, Woestijne KP van de (1975) Inflection point on transpulmonary pressure-volume curves and closing volume. J Appl Physiol 38:228–235

    PubMed  CAS  Google Scholar 

  10. Dureuil B, Aubier M (1988) Assessment of diaphragmatic function in the intensive care unit. Intensive Care Med 14:83–85

    Article  PubMed  CAS  Google Scholar 

  11. Falke KJ, Samodelov LF (1986) Inspiratory work of breathing with CPAP-systems. In: Vincent JL (ed) Update in intensive care and emergency medicine vol 1. Berlin Heidelberg New York Tokyo, pp 96–100

    Google Scholar 

  12. Gattinoni L, Mascheroni D, Basilico E, Foti G, Pesenti A, Avalli L (1987) Volume/pressure curve of total respiratory system in paralysed patients: artefacts and correction factors. Intensive Care Med 13:19–25

    Article  PubMed  CAS  Google Scholar 

  13. Gattinoni L, Pesenti A, Mascheroni D et al. (1984) The role of static lung compliance in the management of severe ARDS unresponsive to conventional treatment. Intensive Care Med 10:121–126

    Article  PubMed  CAS  Google Scholar 

  14. Gross D, Grassino A, Ross WRD, Macklem PT (1979) Electromyogram pattern of diaphragmatic fatigue. J Appl Physiol 46:1–7

    PubMed  CAS  Google Scholar 

  15. Herrera M, Blasco J, Venegas J, Barba R, Doblas A, Marquez E (1985) Mouth occlusion pressure (p0.l) in acute respiratory failure. Intensive Care Med 11:134–139

    Article  PubMed  CAS  Google Scholar 

  16. Holle RHO, Montgomery AB, Schoene RB, Rindfleisch S, Pierson DJ, Hudson LD (1983) High central respiratory drives in patients who fail ventilator weaning. Am Rev Respir Dis 127:88

    Google Scholar 

  17. Holzapfel L, Robert D, Perrin F, Blanc PL, Palmier B, Guerin C (1983) Static pressure-volume curves and effects of positive end-expiratory pressure on gas exchange in adult respiratory distress syndrome. Crit Care Med 11:591–597

    Article  PubMed  CAS  Google Scholar 

  18. Hylkema BS, Barkmeijer-Degenhart P, Mark TW van der, Peset R, Sluiter HJ (1983) Central venous vs. esophageal pressure changes for calculation of lung compliance during mechanical ventilation. Crit Care Med 11:271–271:275

    Article  PubMed  CAS  Google Scholar 

  19. Hylkema BS, Barkmeyer-Degenhart P, Grevink RG, Mark TW van der, Peset R, Sluiter HJ (1985) Lung mechanical profiles in acute respiratory failure: Diagnostic and prognostic value of compliance at different tidal volumes. Crit Care Med 13:637–640

    Article  PubMed  CAS  Google Scholar 

  20. Ingram RH, O’Cain C, Fridy WW (1974) Simultaneous quasi static lung pressure-volume curves and „closing volume“ measurements. J Appl Physiol 36:135–141

    PubMed  Google Scholar 

  21. Jardin F, Genevray B, Brun-Ney D, Bourdarias J-P (1985) Influence of lung and chest wall compliances on transmission of airway pressure to the pleural space in critically ill patients. Chest 88:653–658

    Article  PubMed  CAS  Google Scholar 

  22. Lemaire F, Harf A, Simmonneau G, Matamis D, Rivara D, Atlan G (1981) Echanges gaseux, courbe statique pression-volume et ventilation en pression positive de fin d’exspiration. Ann Anesth Fr 22:435–441

    CAS  Google Scholar 

  23. Mancebo J, Calaf N, Benito S (1985) Pulmonary compliance measurement in acute respiratory failure. Crit Care Med 13:589–591

    Article  PubMed  CAS  Google Scholar 

  24. Mankikian B, Lemaire F, Benito S, Brun-Buisson C, Harf A, Maillot JP (1983) A new device for measurement of pulmonary pressure-volume curves in patients on mechanical ventilation. Crit Care Med 11:897–901

    Article  PubMed  CAS  Google Scholar 

  25. Marini JJ, Capps JS, Culver BH (1985) The inspiratory work of breathing during assisted mechanical ventilation. Chest 87:612–618

    Article  PubMed  CAS  Google Scholar 

  26. Matamis D, Lemaire F, Harf A, Brun-Buisson C, Ansquer JC, Atlan G (1984) Total respiratory pressure-volume curves in the adult respiratory distress syndrome. Chest 86:58–66

    Article  PubMed  CAS  Google Scholar 

  27. Milic-Emili J, Rossi A (1989) Respiratory mechanics in ICU patients. In: Stanley TH, Sperry RJ (eds) Anesthesia and the lung. Kluwer, Dordrecht, pp 253–260

    Google Scholar 

  28. Neergaard K von, Wirz K (1927) Die Messung der Strömungswiderstände in den Atemwegen des Menschen, insbesondere bei Asthma und Emphysem. Z Klin Med 105:51–82

    Google Scholar 

  29. Pepe PE, Marini JJ (1982) Occult positive end-expiratory pressure in mechanically ventilated patients with airflow obstruction. Am Rev Respir Dis 126:166–170

    PubMed  CAS  Google Scholar 

  30. Pourriat JL, Lamberto C, Hoang PH, Fournier JL, Vasseur B (1986) Diaphragmatic fatigue and breathing pattern during weaning from mechanical ventilation in COPD patients. Chest 90:703–707

    Article  PubMed  CAS  Google Scholar 

  31. Rossi A, Gottfried SB, Higgs BD, Zocchi L, Grassino A, Milic-Emili J (1985) Respiratory mechanics in mechanically ventilated patients with respiratory failure. J Appl Physiol 58:1849–1858

    PubMed  CAS  Google Scholar 

  32. Rossi A, Gottfried B, Zocchi L et al. (1985) Measurement of static compliance of the total respiratory system in patients with acute respiratory failure during mechanical ventilation. The effect of intrinsic positive end-expiratory pressure. Am Rev Respir Dis 131:672–677

    PubMed  CAS  Google Scholar 

  33. Sassoon CSH Te TT, Mahutte CK, Light RV (1987) Airway occlusion pressure. An important indicator for successful weaning in patients with chronic obstructive pulmonary disease. Am Rev Respir Dis 135:107–113

    PubMed  CAS  Google Scholar 

  34. Sullivan M, Paliotta J, Saklad M (1976) Endotracheal tube as a factor in measurement of respiratory mechanics. J Appl Physiol 41:590–592

    PubMed  CAS  Google Scholar 

  35. Sydow M, Burchardi H, Zinserling J, Ische H, Crozier TA, Weyland W (1991) Improved determination of static compliance by automated single volume steps in ventilated patients. Intensive Care Med 17:108–114

    Article  PubMed  CAS  Google Scholar 

  36. Whitelaw WA, Derenne J-P, Milic-Emili J (1975) Occlusion pressure as a measure of respiratory center output in conscius man. Respir Physiol 23:181–199

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. H. Burchardi
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Pathophysiological Laboratory Department of Pulmonary Diseases, Erasmus University, P.O. Box 1738, NL-3000 DR, Rotterdam, The Netherlands

    Adriaan Versprille

Rights and permissions

Reprints and permissions

Copyright information

© 1992 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Burchardi, H. (1992). Lungenmechanik. In: Versprille, A. (eds) Monitoring. Anaesthesiologie und Intensivmedizin Anaesthesiology and Intensive Care Medicine, vol 224. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77362-4_9

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-77362-4_9

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-55261-1

  • Online ISBN: 978-3-642-77362-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation