Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography

The tenets of mechanical ventilation in acute respiratory distress syndrome (ARDS) include the utilization of low tidal volume and optimal application of positive end-expiratory pressure (PEEP). Optimal PEEP in ARDS is characterized by reduction in alveolar dead space along with improvement in the l...

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Autores principales: Baikunje, Nandakishore, Sehgal, Inderpaul Singh, Dhooria, Sahajal, Prasad, Kuruswamy Thurai, Agarwal, Ritesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455026/
https://www.ncbi.nlm.nih.gov/pubmed/28584436
http://dx.doi.org/10.4103/ijccm.IJCCM_11_17
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author Baikunje, Nandakishore
Sehgal, Inderpaul Singh
Dhooria, Sahajal
Prasad, Kuruswamy Thurai
Agarwal, Ritesh
author_facet Baikunje, Nandakishore
Sehgal, Inderpaul Singh
Dhooria, Sahajal
Prasad, Kuruswamy Thurai
Agarwal, Ritesh
author_sort Baikunje, Nandakishore
collection PubMed
description The tenets of mechanical ventilation in acute respiratory distress syndrome (ARDS) include the utilization of low tidal volume and optimal application of positive end-expiratory pressure (PEEP). Optimal PEEP in ARDS is characterized by reduction in alveolar dead space along with improvement in the lung compliance and resultant betterment in oxygenation. There are various methods of setting PEEP in ARDS. Herein, we report a patient of ARDS, wherein we employed measurement of dead space using volumetric capnography to compare two different PEEP strategies, namely, the lower inflection point and transpulmonary pressure monitoring.
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spelling pubmed-54550262017-06-05 Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography Baikunje, Nandakishore Sehgal, Inderpaul Singh Dhooria, Sahajal Prasad, Kuruswamy Thurai Agarwal, Ritesh Indian J Crit Care Med Case Report The tenets of mechanical ventilation in acute respiratory distress syndrome (ARDS) include the utilization of low tidal volume and optimal application of positive end-expiratory pressure (PEEP). Optimal PEEP in ARDS is characterized by reduction in alveolar dead space along with improvement in the lung compliance and resultant betterment in oxygenation. There are various methods of setting PEEP in ARDS. Herein, we report a patient of ARDS, wherein we employed measurement of dead space using volumetric capnography to compare two different PEEP strategies, namely, the lower inflection point and transpulmonary pressure monitoring. Medknow Publications & Media Pvt Ltd 2017-05 /pmc/articles/PMC5455026/ /pubmed/28584436 http://dx.doi.org/10.4103/ijccm.IJCCM_11_17 Text en Copyright: © 2017 Indian Journal of Critical Care Medicine http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Case Report
Baikunje, Nandakishore
Sehgal, Inderpaul Singh
Dhooria, Sahajal
Prasad, Kuruswamy Thurai
Agarwal, Ritesh
Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title_full Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title_fullStr Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title_full_unstemmed Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title_short Titration of Ideal Positive End-expiratory Pressure in Acute Respiratory Distress Syndrome: Comparison between Lower Inflection Point and Esophageal Pressure Method Using Volumetric Capnography
title_sort titration of ideal positive end-expiratory pressure in acute respiratory distress syndrome: comparison between lower inflection point and esophageal pressure method using volumetric capnography
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5455026/
https://www.ncbi.nlm.nih.gov/pubmed/28584436
http://dx.doi.org/10.4103/ijccm.IJCCM_11_17
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