• Critical care nurse · Oct 2016

    Review Case Reports

    Esophageal Pressure Measurements in Patients With Acute Respiratory Distress Syndrome.

    • Grace Hofmann, Lutana Haan, and Jeff Anderson.
    • Grace Hofmann is a respiratory therapist at Massachusetts General Hospital, Boston, Massachusetts.Lutana Haan is an assistant professor in the respiratory care program at Boise State University.Jeff Anderson is an associate professor in the respiratory care program at Boise State University.
    • Crit Care Nurse. 2016 Oct 1; 36 (5): 27-35.

    AbstractEsophageal balloons are used in the respiratory monitoring of critical care patients. After the esophageal pressure is measured, the corresponding pleural pressure in the thorax can be projected, enabling lung-thorax compliance to be partitioned into chest-wall compliance and lung compliance. The esophageal balloon allows determination of transpulmonary pressures and a correspondingly individually tailored approach to respiratory care, such as patient-specific titration of positive end-expiratory pressure for patients with extrapulmonary acute respiratory distress syndrome. Esophageal balloon monitoring provides critical information for selecting ventilation strategies to use in patients with acute respiratory distress syndrome.©2016 American Association of Critical-Care Nurses.

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