Gattinoni Mechanical Power — VCV (Square Flow, Long-form)
Uses PEEPtotal (set + intrinsic)
Square/constant inspiratory flow assumed
Passive patient
Mechanical Power: — J·min⁻¹
flow: device
Work per breath: — J·breath⁻¹
Elastic power
— J·min⁻¹
= 0.098 × RR × ½ × (Pplat − PEEPtotal) × VT
Resistive power (long-form)
— J·min⁻¹
= 0.098 × RR × VT2 × (1/TI) × (Ppeak − Pplat)/Flow
PEEP power
— J·min⁻¹
= 0.098 × RR × PEEPtotal × VT
Ers
— cmH2O·L⁻¹
=(Pplat−PEEPtotal)/VT
Raw
— cmH2O·s·L⁻¹
=(Ppeak−Pplat)/Flow
Flow
— L·s⁻¹
from device
TI
— s
= (60/RR) × (I/(I+E))
Implemented long-form (VCV, square flow):
MP = 0.098 × RR × { VT2 [ ½ × (Pplat − PEEPtotal)/VT
+ (1/TI) × (Ppeak − Pplat)/Flow ] + VT × PEEPtotal }
with TI = (60/RR) × I/(I+E). If Flow = VT/TI (true square flow), the resistive part reduces to (Ppeak−Pplat)·VT.
Pressures: cmH2O; VT: litres (slider shows mL); Flow slider is L·min⁻¹ (set to 0 to derive from I:E). 0.098 converts cmH2O·L·min⁻¹ → J·min⁻¹.