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Characteristics of the ventilator pressure-and flow-trigger variables

1995; Springer Science+Business Media; Volume: 21; Issue: 2 Linguagem: Inglês

10.1007/bf01726540

1432-1238

Catherine S. H. Sassoon, Steve E. Gruer,

Chronic Obstructive Pulmonary Disease (COPD) Research

Pressure- and flow-triggering are available in the Puritan Bennett 7200ae and Siemens SV 300. Using a mechanical lung model, we described the characteristics of the pressure- and flow-triggered continuous positive airway pressure (CPAP) of both ventilators. In the Puritan Bennett 7200ae, the pressure-triggered CPAP is characterized by the relatively insufficient flow delivery after the triggering, resulting in a greater lung pressure-time product (total PTP) than the flow-triggered CPAP. Pressure support of 5 cmH2O results in total PTP less than that with flow-triggered CPAP. In the Siemens SV 300, total PTP with pressure- or flow-triggered CPAP is comparable. Total PTP is less with pressure- or flow-triggered CPAP of the Siemens SV 300 than that of the Puritan Bennett 7200ae, respectively. The application of small pressure-or flow-triggered pressure support in the Puritan Bennett 7200 ae eliminates the difference. The impact of these differences on patient inspiratory muscle work remains to be determined.