Mean airway opening pressure as an index of inspiratory muscle task intensity

The relationship between mean values of pressure (pressure-time integral including both inspiration and expiration) measured at the airway opening (Pao) and in the esophagus (Pes) is described for ventilation on a variety of external inspiratory resistances. Pao/Pes was 0.85 or greater when the external inspiratory resistance was a 4.0-mm or smaller endotracheal tube adaptor. Additionally, Pao can be easily and accurately measured by a slowly responding mechanical manometer. This device is simple in design, unpowered, inexpensive, and can be used outside the laboratory as part of an inspiratory muscle training program.