Understanding the setting of PEEP from esophageal pressure in patients with ARDS
نویسندگان
چکیده
منابع مشابه
Transpulmonary pressure and gas exchange during decremental PEEP titration in pulmonary ARDS patients.
BACKGROUND Selection of the PEEP associated with the best compliance of the respiratory system during decremental PEEP titration can be used for the treatment of patients suffering from ARDS. We describe changes in transpulmonary pressure (Ptp) and gas exchange during a decremental PEEP titration maneuver in subjects with pulmonary ARDS. METHODS Eleven subjects with early ARDS were included. ...
متن کاملIndividualized PEEP setting in subjects with ARDS: a randomized controlled pilot study.
BACKGROUND Low-tidal-volume ventilation may be associated with repetitive opening and closing of terminal airways. The use of PEEP is intended to keep the alveoli open. No method of adjusting the optimal PEEP has shown to be superior or to improve clinical outcomes. We conducted a pilot study to evaluate the effect of setting an individualized level of PEEP at the highest compliance on oxygenat...
متن کاملPEEP in ARDS--how much is enough?
In 1967, Ashbaugh et al. 1 introduced the use of positive end-expiratory pressure (PEEP) during mechanical ventilation to treat refractory hypoxemia in patients with the acute respiratory distress syndrome (ARDS). Almost 40 years later, the question of how much PEEP is enough remains relevant. Controversy regarding the optimal level of PEEP has persisted despite years of investigation into this...
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ژورنال
عنوان ژورنال: Intensive Care Medicine
سال: 2015
ISSN: 0342-4642,1432-1238
DOI: 10.1007/s00134-015-3776-3