Abstract:
:To determine if continuous positive airway pressure (CPAP) or expiratory positive airway pressure (EPAP) is superior for achieving or maintaining effective lung volume in spontaneously breathing critically ill patients in acute respiratory failure, the authors measured functional residual capacity (FRC), airway and esophageal pressures, and arterial oxygen tensions when CPAP and EPAP were 5 and 10 cm H2O. Arterial oxygenation, FRC, and transpulmonary pressure at end-expiration were greatest when CPAP was 10 cm H2O. Lung compliance did not change. The authors conclude that CPAP at 10 cm H2O is the more effective technique, either because it allows relaxation of chest wall musculature on expiration, or because EPAP at 10 cm H2O increases chest wall muscle tone.
journal_name
Anesthesiologyjournal_title
Anesthesiologyauthors
Schlobohm RM,Falltrick RT,Quan SF,Katz JAdoi
10.1097/00000542-198110000-00013subject
Has Abstractpub_date
1981-10-01 00:00:00pages
416-22issue
4eissn
0003-3022issn
1528-1175journal_volume
55pub_type
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