منابع مشابه
PEEP titration: new horizons.
Most respiratory practitioners agree that PEEP helps to recruit and maintain alveoli that would otherwise collapse or suffer tidal inflation and deflation. PEEP thus reduces atelectrauma, shear forces, and systemic inflammatory mediator release. These benefits are balanced against consequences. PEEP can lead to overdistention of lung units, especially those that remain normal in the midst of he...
متن کاملRecruitment Maneuvers and PEEP Titration.
The injurious effects of alveolar overdistention are well accepted, and there is little debate regarding the importance of pressure and volume limitation during mechanical ventilation. The role of recruitment maneuvers is more controversial. Alveolar recruitment is desirable if it can be achieved, but the potential for recruitment is variable among patients with ARDS. A stepwise recruitment man...
متن کاملDecremental PEEP titration: a step away from the table.
The setting of PEEP in patients with ARDS has become a standard of practice for nearly 46 years.1 One of the more widely used methods in current practice for PEEP selection is the ARDS Network PEEP/FIO2 table. 2 This table guides the clinician to increase or decrease PEEP and FIO2 based on oxygenation. The low-to-modest levels of PEEP utilized throughout the table have been challenged in 2 stud...
متن کاملPEEP Titration Using the PaCO2-PetCO2 Gradient Fact or Fallacy?
272 Communications to the Editor Communications for thzs section will be published as space and priorities permit. The comments should not exceed 350 words in length, with a maximum offive references; onefigure or table can be printed. Exceptions may occur under particular circumstance& Contributions may include comments on articles publirhed in this periodical, or they may be reports ofunique ...
متن کاملPEEP Titration Using the PaCO2-PetCO2 Gradient Fact or Fallacy?
272 Communications to the Editor Communications for thzs section will be published as space and priorities permit. The comments should not exceed 350 words in length, with a maximum offive references; onefigure or table can be printed. Exceptions may occur under particular circumstance& Contributions may include comments on articles publirhed in this periodical, or they may be reports ofunique ...
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ژورنال
عنوان ژورنال: Respiratory Care
سال: 2013
ISSN: 0020-1324,1943-3654
DOI: 10.4187/respcare.02736