Abstract:
:The estimation of pleural pressure with esophageal manometry has been used for decades, and it has been a fertile area of physiology research in healthy subject as well as during mechanical ventilation in patients with lung injury. However, its scarce adoption in clinical practice takes its roots from the (false) ideas that it requires expertise with years of training, that the values obtained are not reliable due to technical challenges or discrepant methods of calculation, and that measurement of esophageal pressure has not proved to benefit patient outcomes. Despites these criticisms, esophageal manometry could contribute to better monitoring, optimization, and personalization of mechanical ventilation from the acute initial phase to the weaning period. This review aims to provide a comprehensive but comprehensible guide addressing the technical aspects of esophageal catheter use, its application in different clinical situations and conditions, and an update on the state of the art with recent studies on this topic and on remaining questions and ways for improvement.
journal_name
Respir Carejournal_title
Respiratory careauthors
Pham T,Telias I,Beitler JRdoi
10.4187/respcare.07425subject
Has Abstractpub_date
2020-06-01 00:00:00pages
772-792issue
6eissn
0020-1324issn
1943-3654pii
65/6/772journal_volume
65pub_type
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