Monitoring Respiratory Muscle Effort During Mechanical Ventilation
Author Information
Author(s): van Oosten Julien P., Akoumianaki Evangelia, Jonkman Annemijn H.
Primary Institution: Erasmus Medical Center, Rotterdam, The Netherlands
Hypothesis
What are the various methods for monitoring respiratory muscle effort during mechanical ventilation?
Conclusion
Different tools are available for monitoring the respiratory muscles’ effort during mechanical ventilation, which could facilitate a lung and respiratory muscle-protective ventilation approach.
Supporting Evidence
- Esophageal pressure measurement is the reference standard for respiratory muscle effort quantification.
- Expiratory occlusion pressures could inform about low and high effort and the resulting lung stress.
- Surface electromyography has the potential for inspiratory effort estimation.
Takeaway
Doctors can use different tools to check how hard a patient's breathing muscles are working when they are on a ventilator, which helps keep their lungs safe.
Methodology
The review summarizes various methods for monitoring respiratory muscle effort, including esophageal pressure measurement and noninvasive screening tools.
Limitations
The accuracy of some monitoring methods depends on the patient's condition and the ability to obtain reliable measurements.
Digital Object Identifier (DOI)
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