Anesthesia Clinical Trial
Official title:
Intraoperative Measurement of Lung Elastance and Transpulmonary Pressure Using Two Different Methods
Classically lung elastance and transpulmonary pressure are measured from the difference in tidal variations of airway pressure subtracted by tidal variations i esophagus pressure divided by the tidal volume. This requires the presence of a esophageal balloon catheter which is cumbersome and costly. In this study values obtained as described above are compared to values obtained with a new method in which a stepwise increase in positive endexpiratory pressure (PEEP) is performed with a size which corresponds to the tidal volume which the patient is ventilated with. These measurements are performed in anesthetized patients prior to major surgery.
Classically lung elastance and transpulmonary pressure are measured from the difference in
tidal variations of airway pressure subtracted by tidal variations in esophageal pressure
divided by the tidal volume (Method 1). This requires the presence of a esophageal balloon
catheter which is cumbersome and costly.
In this study values obtained as described in Method 1 above are compared to values obtained
with a new method in which a PEEP-step is performed with a size which corresponds to the
tidal volume which the patient is ventilated with. Measurements using Method 1 and 2 are
performed in anesthetized patients prior to major surgery.
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