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PEEP is important - it improves oxygenation, and is an essential component of lung protective strategies.
But PEEP also has some problems - it can cause hypotension and increased pulmonary vascular resistance.
So how does one get optimal PEEP?
#VTA23
But PEEP also has some problems - it can cause hypotension and increased pulmonary vascular resistance.
So how does one get optimal PEEP?
#VTA23
Optimal PEEP has no clear universal definition.
Maybe we should look for appropriate PEEP - a PEEP value that results in adequate oxygenation with the lowest risk of overdistension.
#VTA23
Maybe we should look for appropriate PEEP - a PEEP value that results in adequate oxygenation with the lowest risk of overdistension.
#VTA23
Some simple PEEP setting strategies - the Gattinoni method (doi.org/10.1097/MCC.00…) and the titration method (PEEP/FiO2 table from ARDSNet).
Limiting driving pressure can be achieved in a number of ways - setting the PEEP above the lower inflection point. Airway graphic analysis, lung ultrasound, oesophageal manometry and electrical impedence monitoring can all help you achieve this. #VTA23 doi.org/10.1016/j.ches…
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