Optimal PEEP in ARDS: Changing concepts and current controversies - 01/09/11
Address reprint requests to: Mitchell M. Levy, MD, FCCM Medical Intensive Care Unit Rhode Island Hospital, Main Building, 7th floor 593 Eddy Street Providence, RI 02903Résumé |
From many recently performed studies, it is clear that a criterion standard for determining the optimal positive end-expiratory pressure (PEEP) level in patients with acquired respiratory distress syndrome (ARDS) does not exist. What is evident and consistent, however, are several points such the optimal PEEP level ultimately represents a balance between regional areas of overstretching and regional derecruitment; higher levels of PEEP may be required early in ARDS, independent of oxygenation requirements; and the exact method for titrating PEEP in patients with ARDS remains to be determined. These points and others are delineated and discussed in this article.
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Vol 18 - N° 1
P. 15-33 - janvier 2002 Retour au numéro
Article précédent
- Mechanical ventilation in acute lung injury and ARDS: Tidal volume reduction
- Roy G Brower
- Effects of prone position ventilation in ARDS: An evidence-based review of the literature
- Nicholas S Ward
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