Differentiating Lung From Chest Wall Mechanics Is Difficult Without Esophageal Manometry in Children With Acute Respiratory Distress Syndrome

In PARDS, C RS is more strongly tied to C l than C CW . While E L /E RS is not easily predictable from clinical variables, when C RS is low, E L /E RS is generally high. Therefore, increasing Pplat above the suggested thresholds when C RS is impaired may be inappropriate without measuring esophageal pressure.

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Publication Details

Journal
Critical Care Medicine
Published
2025-08-15
DOI
https://doi.org/10.1097/ccm.0000000000006839
Citations
1
Primary Topic
Respiratory Support and Mechanisms
Type
article
Field-Weighted Citation Impact
1.52
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article

Differentiating Lung From Chest Wall Mechanics Is Difficult Without Esophageal Manometry in Children With Acute Respiratory Distress Syndrome

Miyako Kyogoku, Robinder G. Khemani, Muneyuki Takeuchi, Justin Hotz et al.
1 citations
Critical Care Medicine
Respiratory Support and Mechanisms
1.52
article

Differentiating Lung From Chest Wall Mechanics Is Difficult Without Esophageal Manometry in Children With Acute Respiratory Distress Syndrome

Miyako Kyogoku, Robinder G. Khemani, Muneyuki Takeuchi, Justin Hotz, Rutger C. Flink, Meryl Vedrenne‐Cloquet, Yukie Ito, Anoopindar Bhalla, Daniel Chang, Christopher J. L. Newth
article en
1 citations

Abstract

In PARDS, C RS is more strongly tied to C l than C CW . While E L /E RS is not easily predictable from clinical variables, when C RS is low, E L /E RS is generally high. Therefore, increasing Pplat above the suggested thresholds when C RS is impaired may be inappropriate without measuring esophageal pressure.

Critical Care MedicineVol. 53(11)
University of Southern California (US), Children's Hospital of Los Angeles (US), Université Paris Cité (FR), Emma Kinderziekenhuis (NL), National Cerebral and Cardiovascular Center (JP), Amsterdam University Medical Centers (NL)
No poverty
Openalex Percentile: Top 15%
Respiratory Support and Mechanisms
1.52
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