Respiratory failure & ventilation

A novel method for assessment of airway opening pressure without the need for low-flow insufflation

Crit CarePublished Diagnostic accuracy study

Authors' conclusion

Determination of Pcond during constant-flow assist control ventilation may permit to easily and safely detect and measure AOP.

Study context

Population
Mechanically ventilated patients under volume assist control ventilation45 in tolerance comparison
Participants
213 participants
Comparison
Pcond vs Standard low-flow
Outcome
AOP detection
Methodological detailsbench models (lung simulator, cadavers), Bench assessments validated the Pcond method proof-of-concept
  • Bench models (lung simulator, cadavers)
  • Bench assessments validated the Pcond method proof-of-concept

Performance

As reported in the abstract

Test or modelSensitivitySpecificity
Pcond93%91%

Pcond

Sensitivity93%
Specificity91%

Further findings

OutcomeRP value
Correlation of AOP by Pcond and standard low-flow methods0.84P < 0.001

Safety

OutcomeP value
Changes in SpO2Significantly lower during PcondP < 0.001
  • Changes in SpO2: 45 patients

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

A novel method for assessment of airway opening pressure without the need for low-flow insufflation. Crit Care. Published 7 July 2023. doi:10.1186/s13054-023-04560-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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