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Respiratory mechanics studied by multiple regression and the end-inspiratory pause technique during mechanical ventilation
Critical Care volume 4, Article number: P113 (2000)
Aim of the study
In the present study, a comparative evaluation of the multiple linear regression analysis (MLRA) and the end-inspiratory pause technique (EIP) is attempted for the investigation of respiratory system (RS) mechanics during mechanical ventilation.
Airway pressure (Pao) and flow (V') data were digitally obtained from 25 ICU patients, who were mechanically ventilated (CMV mode) and under sedation and muscle relaxation. Volume (V) was calculated by numerical integration of V' . Data were analysed on a cycle per cycle basis with the aid of MLRA according to: Pao=PE + Ers.V + Rrs.V', where Ers represents the RS Elastance, Rrs the RS resistance and PE the end-expiratory pressure. Ers and Rrs were also calculated with the aid of the EIP, while end-expiratory pressure was measured on the actual Pao signal. Ers(EIP), Rrs(EIP) and PE(EIP) were used to reconstruct the pressure, according to EIP. Predicted Pao according to MLRA and EIP were correlated to the measured Pao. The error of correlations measured as the root mean square difference (RMSD) was used for the comparative evaluation of the two techniques. Student paired t-test was used for the comparison of the calculated mechanical coefficients (P=0.05).
Results are presented in the table (*denotes statistically significant difference at P=0.05).
Both MLRA and EIP offer an almost equal and linear approach to respiratory mechanics during mechanical ventilation. MLRA gives more accurate results according to the better correlation (lower RMSD) of MLRA pressure than EIP pressure to the actually measured Pao.
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Vassiliou, M., Psarakis, C., Amygdalou, A. et al. Respiratory mechanics studied by multiple regression and the end-inspiratory pause technique during mechanical ventilation. Crit Care 4, P113 (2000). https://doi.org/10.1186/cc833
- Mechanical Ventilation
- Muscle Relaxation
- Airway Pressure
- Full Text
- Respiratory System