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J Clin Monit Comput · Aug 2022
Oesophageal balloon positioning by echocardiography to guide positive pressure ventilation.
- Marco Betello, Raphael Giraud, and Karim Bendjelid.
- Anesthesiology Division, Geneva University Hospitals, Rue Gabrielle-Perret-Gentil 4, 1211, Genève 4, Switzerland. Marco.Betello@hcuge.ch.
- J Clin Monit Comput. 2022 Aug 1; 36 (4): 1037-1041.
AbstractUnderstanding the respiratory mechanics of ARDS patients is crucial to avoid ventilator-induced lung injury (VILI), and this is much more challenging if not only lung compliance is altered but the whole compliance of the respiratory system is abnormal, as in obese patients. We face this problem daily in the ICU, and to optimize ventilation, we estimate respiratory mechanics using an oesophageal balloon. The balloon position is crucial to assess reliable values. In the present technical note, we describe the use of echocardiography to confirm the correct position of this instrument.© 2021. The Author(s).
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