Download PDF
J Pediatr Intensive Care 2013; 02(01): 033-038
DOI: 10.3233/PIC-13046
Review Article
Georg Thieme Verlag KG Stuttgart – New York

Accuracy of small tidal volume measurement comparing two ventilator airway sensors

Mark J. Heulitt
a   Section of Critical Care Medicine, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
,
Shirley J. Holt
b   Respiratory Care, Arkansas Children’s Hospital, Little Rock, AR, USA
,
Tracy L. Thurman
a   Section of Critical Care Medicine, Department of Pediatrics, College of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA
› Author Affiliations
Subject Editor:
Further Information

Publication History

15 November 2012

04 January 2013

Publication Date:
28 July 2015 (online)

Also available at
  PDF Download  Permissions and Reprints

Abstract

Goals of modern mechanical ventilation in infants focus on preventing over-distention by limiting tidal volume. Accurate measurement of these volumes is essential. We hypothesized that tidal volume accuracy differs dependent upon the type of airway sensor utilized in tidal volumes less than 10 mL. Intubated, sedated Sprague Dawley rats (n = 40) were ventilated utilizing both control and support ventilator modes. Accuracy of volume delivery was compared between a fixed orifice flow sensor (FOF) and a hot wire anemometer (HWA) to a Hans Rudolph linear pneumotachograph positioned at the patient wye. Rats median weight was 476 grams (range 370–544), tidal volume (VT) 3.5 mL (1.2–11.4), f 50 (18–102), and PIP 9.5 cm H2O (1–34). Across all modes, bias and precision were HWA −0.76, 1.09; FOF 0.22, 0.61. This study confirms that there are differences in the accuracy of small tidal volumes measured with a FOF as compared to a HWA. Utilizing a FOF, control modes exhibit improved precision and decreased bias as compared to support modes.

Keywords

Pediatric - critical care - artificial - respiration - monitoring - ventilation