Model-based PEEP Optimisation in Mechanical Ventilation

Model-based PEEP optimisation in mechanical ventilation

BACKGROUND Acute Respiratory Distress Syndrome (ARDS) patients require mechanical ventilation (MV) for breathing support. Patient-specific PEEP is encouraged for treating different patients but there is no well established method in optimal PEEP selection. METHODS A study of 10 patients diagnosed with ALI/ARDS whom underwent recruitment manoeuvre is carried out. Airway pressure and flow data ...

PEEP and Mechanical Ventilation: We Are Warned, We Cannot Ignore.

of the Ventumask and EasyVent, Ventukit, and EveCoulisse are very similar, respectively, whereas the Boussignac is the least expensive. However, based on the results of our study, the Boussignac device appears to perform more as a reservoir mask than as a CPAP device because of the low variable end-expiratory pressure, low airflow outputs, and high unadjustable FIO2. We concur with Drs Salturk ...

Effect of external PEEP in patients under controlled mechanical ventilation with an auto-PEEP of 5 cmH2O or higher

BACKGROUND In some patients with auto-positive end-expiratory pressure (auto-PEEP), application of PEEP lower than auto-PEEP maintains a constant total PEEP, therefore reducing the inspiratory threshold load without detrimental cardiovascular or respiratory effects. We refer to these patients as "complete PEEP-absorbers." Conversely, adverse effects of PEEP application could occur in patients w...

Inverse ratio ventilation. PEEP in disguise?

State of the evidence: mechanical ventilation with PEEP in patients with cardiogenic shock.

The need to provide invasive mechanical ventilatory support to patients with myocardial infarction and acute left heart failure is common. Despite the large number of patients requiring mechanical ventilation in this setting, there are remarkably few data addressing the ideal mode of respiratory support in such patients. Although there is near universal acceptance regarding the use of non-invas...