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Case Reports
. 2022 Jan 15;205(2):245-247.
doi: 10.1164/rccm.202104-1062IM.

The Pressure Paradox: Abdominal Compression to Detect Lung Hyperinflation in COVID-19 Acute Respiratory Distress Syndrome

Dekel Stavi  1   2   3   4 , Alberto Goffi  1   5   3   6 , Mufid Al Shalabi  3   7 , Thomas Piraino  1   3   8 , Lu Chen  1   6 , Robert Jackson  5 , Laurent Brochard  1   5   3   6
Affiliations
Case Reports

The Pressure Paradox: Abdominal Compression to Detect Lung Hyperinflation in COVID-19 Acute Respiratory Distress Syndrome

Dekel Stavi et al. Am J Respir Crit Care Med. .
No abstract available

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Figures

Figure 1.
Figure 1.
Ventilator screenshots demonstrating the effect of a moderate sustained manual abdominal compression and its release on airway pressures and respiratory mechanics in a sedated and paralyzed patient with severe respiratory failure secondary to coronavirus disease (COVID-19) infection. The red rectangles represent enlargement of the pressure–time curve profiles. A reduction of the pressure over time concavity during abdominal compression, suggesting reduction in tidal hyperinflation, can be seen.
See this image and copyright information in PMC

References

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    1. Henderson WR, Chen L, Amato MBP, Brochard LJ. Fifty years of research in ARDS. Respiratory mechanics in acute respiratory distress syndrome. Am J Respir Crit Care Med . 2017;196:822–833. - PubMed
    1. Marini JJ, Gattinoni L. Improving lung compliance by external compression of the chest wall. Crit Care . 2021;25:264. doi: 10.1186/s13054-021-03700-8. - DOI - PMC - PubMed
    1. Kummer R, Shapiro R, Marini J, Huelster J, Leatherman J. Paradoxically Improved Respiratory Compliance With Abdominal Compression in COVID-19 ARDS. Chest . 2021 doi: 10.1016/j.chest.2021.05.012. - DOI - PMC - PubMed

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