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Evaluation of intrathoracic pressure is the cornerstone of the understanding of heart-lung interactions, but is not easily feasible at the bedside. Esophageal pressure (Pes) has been shown to be a good surrogate for intrathoracic pressure and can be more easily measured using a small esophageal catheter, but is not routinely employed. It can provide crucial information for the study of heart-lung interactions in both controlled and spontaneous ventilation. This review presents the physiological basis, the technical aspects and the value in clinical practice of the measurement of Pes.

Value of measuring esophageal pressure to evaluate heart-lung interactions—applications for invasive hemodynamic monitoring