Journal of Acute Care

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VOLUME 3 , ISSUE 1 ( January-April, 2024 ) > List of Articles


Finding Safe Driving Pressure

Ripenmeet Salhotra, Nitish Parmar, Aayush Chawla

Keywords : Acute care medicine, Acute respiratory distress syndrome, Critical care unit, Mechanical ventilation

Citation Information : Salhotra R, Parmar N, Chawla A. Finding Safe Driving Pressure. 2024; 3 (1):38-40.

DOI: 10.5005/jp-journals-10089-0096

License: CC BY-NC 4.0

Published Online: 30-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Driving pressure (ΔP) has been directly associated with mortality in acute respiratory distress syndrome (ARDS) and should be monitored and limited to <15 cm of water. Its calculation in a passively ventilated patient is straightforward but requires invasive and expensive techniques like esophageal pressure monitoring in patients with spontaneous respiratory effort. Recently described novel bedside techniques can be used to estimate ΔP in patients on assisted mechanical ventilation.

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  1. Amato MB, Meade MO, Slutsky AS, et al. Driving pressure and survival in the acute respiratory distress syndrome. N Engl J Med 2015;372(8):747–755. DOI: 10.1056/NEJMsa1410639
  2. Bellani G, Grassi A, Sosio S, et al. Driving pressure is associated with outcome during assisted ventilation in acute respiratory distress syndrome. Anesthesiology 2019;131(3):594–604. DOI: 10.1097/ALN.0000000000002846
  3. Yoshida T, Brochard L. Esophageal pressure monitoring: why, when and how? Curr Opin Crit Care 2018;24(3):216–222. DOI: 10.1097/MCC.0000000000000494
  4. Bellani G, Grassi A, Sosio S, et al. Plateau and driving pressure in the presence of spontaneous breathing. Intensive Care Med 2019;45(1):97–98. DOI: 10.1007/s00134-018-5311-9
  5. Bertoni M, Telias I, Urner M, et al. A novel non-invasive method to detect excessively high respiratory effort and dynamic transpulmonary driving pressure during mechanical ventilation. Crit Care 2019;23(1):346. DOI: 10.1186/s13054-019-2617-0
  6. ARDS Definition Task Force; Ranieri VM, Rubenfeld GD, et al. Acute respiratory distress syndrome: the Berlin definition. JAMA 2012;307(23):2526–2533. DOI: 10.1001/jama.2012.5669
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