How do you monitor a patient on a ventilator?

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TechniqueParameterPossible target range of values for safe spontaneous breathing
Esophageal pressurePeak end-inspiratory transpulmonary pressure (PL)≤20 cmH2O
Swing in transpulmonary pressure (ΔPL)≤15 cmH2O
Peak inspiratory muscle pressure (Pmus)5–10 cmH2O
Esophageal pressure swing (ΔPes)3–8 cmH2O
Transdiaphragmatic pressure swing (ΔPdi)5–10 cmH2O
Pressure time product (PTP)50–100 cmH2O/s/min
Occlusion maneuversInspiratory occlusion for plateau airway pressure (Pplat)≤30 cmH2O
Inspiratory occlusion for driving pressure (ΔPaw = Pplat − PEEP)≤15 cmH2O
Expiratory occlusion for estimated Pmus5–10 cmH2O
Airway occlusion pressure (P0.1)1.5–3.5 cmH2O
ElectromyographyDiaphragm electrical activity (EAdi)Uncertain

  1. PEEP positive end-expiratory pressure