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Influence of neonatal endotracheal tube dimensions on oscillometry-acquired reactance: a bench study.
Physiological Measurement 2023 January 5
OBJECTIVE: To examine the influence of the endotracheal tube (ETT) on respiratory reactance (Xrs) measured with the forced oscillation technique (FOT) and develop a correction method for it.
APPROACH: In a bench study, the reactance of ETTs (Xtube) with different dimensions was measured on a breathing test lung in various respiratory settings.
MAIN RESULTS: Xtube can be accurately predicted by a fitted formula, with an R2 of 0.97, with negligible effects due to changes in respiratory pattern and lung volume.
SIGNIFICANCE: The developed formula offers the ability to measure ETT-independent Xrs values of patients, improving the potential of FOT for lung function testing in mechanically ventilated newborns.
APPROACH: In a bench study, the reactance of ETTs (Xtube) with different dimensions was measured on a breathing test lung in various respiratory settings.
MAIN RESULTS: Xtube can be accurately predicted by a fitted formula, with an R2 of 0.97, with negligible effects due to changes in respiratory pattern and lung volume.
SIGNIFICANCE: The developed formula offers the ability to measure ETT-independent Xrs values of patients, improving the potential of FOT for lung function testing in mechanically ventilated newborns.
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