Overdistension in ventilated children.
Ventilating patients with acute respiratory failure according to standardized recommendations can lead to varying volume-pressure (V-P) relationships and overdistension. Young children may be more susceptible than adults to overdistension, and individual evaluation of the effects of ventilator settings is therefore required. Three studies have applied indices for the detection of overdistension to dynamic V-P curves in ventilated children. Two of those studies compared these indices to those obtained using a reference technique ([quasi]-static V-P curves), and suggested that the c coefficient of a second order polynomial equation (SOPE) and the ratio of the volume-dependent elastance to total dynamic elastance (%E2) were suitable indices for estimating overdistension.
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Service de Réanimation Pédiatrique, Centre Hospitalier et Universitaire de Lille, Lille, France. fleclerc@chru-lille.fr
Leclerc
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de la Roque
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Leteurtre
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Riou
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D000818:Animals; D002648:Child; D005540:Forced Expiratory Flow Rates; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D012123:Pulmonary Ventilation; D012121:Respiration, Artificial / Q000009:adverse effects*; D012131:Respiratory Insufficiency / Q000503:physiopathology* / Q000628:therapy; D012143:Respiratory Physiological Phenomena