Characteristics of the ventilator pressure- and flow-trigger variables

Intensive Care Med. 1995 Feb;21(2):159-68. doi: 10.1007/BF01726540.

Abstract

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 7200ae eliminates the difference. The impact of these differences on patient inspiratory muscle work remains to be determined.

Publication types

  • Comparative Study
  • Research Support, U.S. Gov't, Non-P.H.S.
  • Review

MeSH terms

  • Air Pressure
  • Humans
  • Microcomputers
  • Positive-Pressure Respiration / instrumentation
  • Transducers, Pressure
  • Ventilators, Mechanical*
  • Work of Breathing