Inflation static pressure-volume curves of the total respiratory system determined without any instrumentation other than the mechanical ventilator.
OBJECTIVE
To assess the accuracy of static pressure-volume (PV) curves of the total respiratory system performed with the data directly obtained from the Servo 900 C vs. the data obtained from an external calibrated device.


METHODS
Performance of the PV curve by the method of Levy with simultaneous recording of data obtained from both systems.


METHODS
The general ICU of Hospital de Sabadell.


METHODS
Ten sedated and paralyzed patients ventilated in the control mode for acute respiratory failure were evaluated.


METHODS
Inflation static PV curves were performed by the method of Levy. We simultaneously measured airway pressure and volume by means of calibrated pressure transducer and pneumotachograph and by the internal devices built in the ventilator Siemens Servo 900 C. Statistics were concordance analysis between the two methods and covariance analysis between derived curves.


RESULTS
concordance analysis between both methods showed a 95% confidence interval of (+4%, -5%) in volume and (+2.2 cmH2O, -1.7 cmH2O) in pressure. Derived PV curves analyzed by MANOVA showed no significant differences whichever the method used within subject (p = 0.579).


CONCLUSIONS
Inflation static pressure volume curves of the total respiratory system can be accurately performed with the data directly obtained from the Servo Ventilator 900 C without the need of any other external device.
Fernandez
R
R
Intensive Care Service, Hospital de Sabadell, Spain.
Blanch
L
L
Artigas
A
A
D000368:Aged; D000704:Analysis of Variance; D005260:Female; D006801:Humans; D008170:Lung Compliance; D008176:Lung Volume Measurements; D008297:Male; D008875:Middle Aged; D011175:Positive-Pressure Respiration; D011312:Pressure; D012123:Pulmonary Ventilation; D012044:Regression Analysis; D012129:Respiratory Function Tests; D012143:Respiratory Physiological Phenomena