Illustrated here are several features used to determine that the esophageal balloon is correctly placed in the esophagus. Illustrated here are several features used to determine that the esophageal balloon is correctly placed in the esophagus. Notice the presence of cardiac oscillations on the esophageal pressure waveform. Also note that there is no change in transpulmonary pressure when pressure is applied to the abdomen. Dean R Hess Respir Care 2014;59:1773-1794 (c) 2012 by Daedalus Enterprises, Inc.