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Pressure measurement placement during the airway occlusion pressure manoeuvre in critically ill children, a cross-sectional study

Leilis, C.I. and Kempers, E.J.M. and Pol, L.R. and Telman, R. (2021) Pressure measurement placement during the airway occlusion pressure manoeuvre in critically ill children, a cross-sectional study.

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Abstract:The airway occlusion pressure manoeuvre might be useful in determining the right timing of extubation in children to minimize the risk of extubation failure. However, it is still unknown if the location of the pressure measurements makes a difference. The aim of the study was therefore to determine whether the parameters obtained from the pressure curves measured distal, at the ventilator (Paw), proximal, as close to the patient as possible (Py) and in vivo, in the esophagus (Pes) differ and how they relate to the values displayed by the ventilator. The study was done on twenty children (age 0.3-192 months) from the PICU of UMCG. The following parameters were obtained using a MATLAB script: MIP, P100, AUC and inclination. The values of these parameters for the first attempt of breathing during a manoeuvre were compared between the different locations. Furthermore, the MIP of the first drop, average MIP, mininum MIP, P100 value and ∆P100 were used to compare with the values displayed by the ventilator.
Item Type:Essay (Bachelor)
Faculty:TNW: Science and Technology
Subject:44 medicine
Programme:Technical Medicine BSc (50033)
Link to this item:https://purl.utwente.nl/essays/86409
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