Positive end-expiratory pressure in obese patients during general anaesthesia. The role of intra-abdominal pressure

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Interaction Between Intra-Abdominal Pressure and Positive-End Expiratory Pressure

OBJECTIVE The aim of this study was to quantify the interaction between increased intra-abdominal pressure and Positive-End Expiratory Pressure. METHODS In 30 mechanically ventilated ICU patients with a fixed tidal volume, respiratory system plateau and abdominal pressure were measured at a Positive-End Expiratory Pressure level of zero and 10 cm H2O. The measurements were repeated after plac...

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PURPOSE OF REVIEW In the last 2 years, several reports have dealt with recruitment/positive end-expiratory pressure (PEEP) selection. Most of them confirm previous results and few add new information. RECENT FINDINGS It has been definitely confirmed that opening pressures are different throughout the acute respiratory distress syndrome lung parenchyma, ranging from 5-10 up to 30-40 cmH2O. The...

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Positive end-expiratory pressure during induction of general anesthesia increases duration of nonhypoxic apnea in morbidly obese patients.

Positive end-expiratory pressure (PEEP) applied during induction of anesthesia prevents atelectasis formation and increases the duration of nonhypoxic apnea in nonobese patients. PEEP also prevents atelectasis formation in morbidly obese patients. Because morbidly obese patients have difficult airway management more often and because arterial desaturation develops rapidly, we studied the clinic...

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effect of positive end-expiratory pressure on central venous pressure in patients under mechanical ventilation

introduction: finding the probable governing pattern of peep and cvp changes is an area of interest for in-charge physicians and researchers. therefore, the present study was designed with the aim of evaluating the relationship between the mentioned pressures. methods: in this quasi-experimental study, patients under mechanical ventilation were evaluated with the aim of assessing the effect of ...

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Heterogeneity in ventilation during positive end-expiratory pressure

geneity in ventilation be good’ [1] and the related article by Zhao and colleagues [2]. We agree with the comments that instead of incremental positive end-expiratory pressure (PEEP) levels, a decremented PEEP titration might be an attractive option for determining optimal PEEP [1,3]. However, we feel that physiological inhomogeneity in ventilation and perfusion related to the gravitational eff...

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ژورنال

عنوان ژورنال: British Journal of Anaesthesia

سال: 2018

ISSN: 0007-0912

DOI: 10.1016/j.bja.2017.12.013