Respiratory failure & ventilation

Inspiratory effort estimated by airway occlusion pressure in the presence of intrinsic positive end-expiratory pressure

Crit CarePublished Retrospective analysis

Authors' conclusion

this proof-of-concept study shows that ΔPocc may underestimate inspiratory effort in case of PEEPi. When a plateau airway pressure can be observed in the end of ΔPocc, it seems possible to estimate PEEPi noninvasively.

Study context

Population
Patients with various degrees of PEEPi undergoing PEEP titration during pressure support ventilation (PSV) with esophageal pressure
Outcome
Estimation of inspiratory effort by ΔPocc in the presence of PEEPi
Methodological detailsproof-of-concept study, PEEP titration during PSV with esophageal pressure, linear mixed-effects models
  • Proof-of-concept study
  • PEEP titration during PSV with esophageal pressure
  • Linear mixed-effects models

Main finding

As reported in the abstract

PEEPi, mean (± SD), PEEP 2 cmH2O

4.7 (± 5.0) cmH2O

PEEPi, mean (± SD), PEEP 14 cmH2O

1.2 (± 0.7) cmH2O

Observational data: associations, not effects.

Original publication

Inspiratory effort estimated by airway occlusion pressure in the presence of intrinsic positive end-expiratory pressure. Crit Care. Published 22 April 2026. doi:10.1186/s13054-026-06039-0

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