Abstract | PURPOSE OF REVIEW: Esophageal pressure measurement well estimates pleural pressure. The interpretation of absolute values is often debated for various reasons, but the changes in pressure measured are considered very accurate provided that a number of precautions are taken. The information provided by these measurements is unique in nature and has an enormous potential to influence management. It allows to study the exact influence of the chest wall and to determine the real lung distending pressure. It is also the only way to quantify respiratory muscle activity and the work of breathing. RECENT FINDINGS: SUMMARY: Application of esophageal pressure monitoring is limited by technical issues, the need for background physiological knowledge and the fact that very few studies have assessed a direct influence of this measurement on patients' outcome. The technique is underused in everyday practice.
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Authors | Laurent Brochard |
Journal | Current opinion in critical care
(Curr Opin Crit Care)
Vol. 20
Issue 1
Pg. 39-46
(Feb 2014)
ISSN: 1531-7072 [Electronic] United States |
PMID | 24300619
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Review)
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Topics |
- Adult
- Airway Resistance
- Esophagus
(physiopathology)
- Female
- Humans
- Male
- Monitoring, Physiologic
- Pleura
(physiopathology)
- Positive-Pressure Respiration
- Reproducibility of Results
- Respiration, Artificial
- Respiratory Distress Syndrome
(physiopathology)
- Tidal Volume
- Work of Breathing
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