Should the esophageal balloon catheter be deployed to personalize ventilation of ARDS? Authors’ reply - Takeaways - MDSpire

Authors’ Response: Can Esophageal Balloon Catheters Guide Personalized Ventilation in ARDS?

By
John J. Marini
Niall D. Ferguson
Daniel Talmor
October 15, 2026

Intensive Care Medicine

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1

The authors appreciated Barrau and colleagues’ constructive commentary.
2

Massive obesity primarily affects chest wall mechanics through mass loading and a rightward displacement of the pressure–volume relationship.
3

Mass loading raises the pleural pressure required for chest wall expansion across the tidal range.
4

Mass loading also raises the pressure used to calculate bedside elastance.
5

These effects have implications for lung recruitment, effective lung protection, and esophageal pressure measurement in ARDS management.

Original Source(s)

Intensive Care Medicine

Should the esophageal balloon catheter be deployed to personalize ventilation of ARDS? Authors’ reply

by John J. Marini, Niall D. Ferguson, Daniel Talmor
October 15, 2026

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