Time Constant Tau (t) during Mechanical Ventilation: Clinical Results


Authors: P. Török;  M. Májek;  J. Kolník
Authors‘ workplace: Oddelenie anestéziológie a intenzívnej medicíny, NsP Vranov nad Topľou, primár MUDr. Pavol Török, CSc. Klinika anestéziológie a intenzívnej medicíny, SPAM Bratislava, prednosta doc. MUDr. Milan Májek, CSc. Chirana-Medical, Stará Turá, vedúci vývoja DaNT i
Published in: Anest. intenziv. Med., , 2001, č. 6, s. 295-297
Category:

Overview

In the study there are compared calculated (tstat ) and measured time constant (tdyn) in two groups of patients with long-term mechanical ventilationin CMV, PCV and PSV modes. Patients were randomized into two groups: one groups consisted of five COPD patients, the other group consisted ofpatients with no lung injury.During the expiratory phase, there were monitored first, second and third time constant (tEdyn1,2,3), as well as calculated time constant as the resultof R . C i.e. tstat.They found no significant correlation between computed and measured time constant.The analysis of measured time constant revealed differences between time constants irrespectively of the applied mode of mechanical ventilation inboth groups with or without COPD.The clinical results confirmed the theory derived from mathematical and physical model that tEdyn1 > tEdyn2 > tEdyn3.In conclusion, when evaluating mechanical characteristics of respiratory organs, we can not even theoretically assume the time constant to bea constant. Theoretical and clinical measurements prove that time constants during mechanical ventilation are not constant.

Key words:
mechanical ventilation – static time constant – dynamic time constant

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Labels
Anaesthesiology, Resuscitation and Inten Intensive Care Medicine
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