Discover and read the best of Twitter Threads about #SCCMDiscovery

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𝙏𝙃𝙀 π™ˆπ™π˜Ύπ™ƒ π™π™Šπ™π™‚π™Šπ™π™π™€π™‰ 𝙍𝙑

1/5
Dif Approaches to Optimizing PEEP

PEEP and RV Function
Clifford Greyson @SCCM #CCC50

#PedsICU #PedsCICU #PedsCards
2/5

▫️Frank-Starling law is more reflective of LV physiology
▫️ RV normally unstressed at end diastole
▫️ RV maladapts to volume overload overtime
▫️ Distorted RV balloons impedes LV
▫️ RV perfusion occurs during ventricular systole
▫️ Vicious cycle πŸ”„ of RV dysfunction
3/5

RV afterload affected by
▫️PVR
▫️Pul vascular compliance
▫️LAP

all compromised with excessive PEEP
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