Decremental PEEP titration: A step away from the table

Respiratory Care

Volumn 58, Issue 5, 2013, Pages 886-888

  Piraino, Thomas ^a,b  

^a Respiratory Therapy Services   (Canada)

^b MCMASTER UNIVERSITY   (Canada)

Author keywords

[No Author keywords available]

Indexed keywords

CARBON DIOXIDE; OXYGEN;

ADULT RESPIRATORY DISTRESS SYNDROME; ARTERIAL CARBON DIOXIDE TENSION; ARTERIAL OXYGEN TENSION; ARTICLE; ATELECTASIS; BLOOD OXYGENATION; ESOPHAGUS PRESSURE; GAS EXCHANGE; HUMAN; LUNG COMPLIANCE; LUNG DEAD SPACE; LUNG PRESSURE; MORTALITY; OXYGEN SATURATION; POSITIVE END EXPIRATORY PRESSURE; SENSITIVITY AND SPECIFICITY; THORAX PRESSURE; TIDAL VOLUME; TITRIMETRY; TREATMENT OUTCOME; VENTILATOR INDUCED LUNG INJURY;

HUMANS; POSITIVE-PRESSURE RESPIRATION; PRESSURE; PULMONARY GAS EXCHANGE; RESPIRATORY DISTRESS SYNDROME, ADULT;

EID: 84876848942     PISSN: 00201324     EISSN: 19433654     Source Type: Journal    
DOI: 10.4187/respcare.02453     Document Type: Article

References (20)

1. Ashbaugh D, Petty T, Bigelow D, Harris T. Continuous positivepressure breathing (CPPB) in adult respiratory distress syndrome. J Thorac Cardiovas Surg 1969;57:31-41.
2. The Acute Respiratory Distress Syndrome Network. Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome. N Engl J Med 2000;342(18):1301-1308.
3. Brower R, Lanken P, MacIntyre N, Matthay M, Morris A, Ancukiewicz M, et al. NHLBI ARDS Clinical Trials Network. Higher versus lower positive end-expiratory pressure in patients with the acute respiratory distress syndrome. N Engl J Med 2004;351(4):327-336.
4. Meade M, Cook D, Guyatt G, Slutsky A, Arabi Y, Cooper D, et al. Lung Open Ventilatory Study Investigators. Ventilation strategy using low tidal volumes, recruitment maneuvers, and high positive end-expiratory pressure for acute lung injury and acute respiratory distress syndrome: a randomized controlled trial. JAMA 2008;299(6): 637-645.
5. Dasenbrook EC, Needham DM, Brower RG, Fan E. Higher PEEP in patients with acute lung injury: a systematic review and meta-analysis. Respir Care 2011;56(5):568-575.
6. Rodriguez PO, Bonelli I, Setten M, Attie S, Madorno M, Maskin LP, Valentini R. Transpulmonary pressure and gas exchange during decremental PEEP titration in pulmonary ARDS patients. Respir Care 2013;58(5):754-763.
7. Borges J, Okamoto V, Matos G, Caramez M, Arantes P, Barros F, et al. Reversibility of Lung Collapse and Hypoxemia in Early Acute Respiratory Distress Syndrome. Am J Respir Crit Care Med 2006; 174(3):268-278.
8. Girgis K, Hamed H, Khater Y, Kacmarek RA. Decremental PEEP trial identifies the PEEP level that maintains oxygenation after lung recruitment. Respir Care 2006;51(10):1132-1139.
9. Gernoth C, Wagner G, Pelosi P, Luecke T. Respiratory and haemodynamic changes during decremental open lung positive end-expiratory pressure titration in patients with acute respiratory distress syndrome. Crit Care 2009;13(2):R59.
10. Huh JW, Jung H, Choi HS, Hong, SB, Lim CM, Koh Y. Efficacy of positive end-expiratory pressure titration after the alveolar recruitment manoeuvre in patients with acute respiratory distress syndrome. Crit Care 2009;13(1):R22.
11. Hodgson CL, Tuxen DV, Davies AR, Bailey MJ, Higgins AM, Holland AE, et al. A randomised controlled trial of an open lung strategy with staircase recruitment, titrated PEEP and targeted low airway pressures in patients with acute respiratory distress syndrome. Crit Care 2011;5(3):R133.
12. Fengmei G, Jin C, Songqiao L, Congshan Y, Yi Y. Dead space fraction changes during peep titration following lung recruitment in patients with ARDS. Respir Care 2012;57(10):1578-1585.
13. Tugrul S, Cakar N, Akinci O, Ozcan PE, Disci R, Esen F, et al. Time required for equilibration of arterial oxygen pressure after setting optimal positive end-expiratory pressure in acute respiratory distress syndrome. Crit Care Med 2005;33(5):995-1000.
14. Talmor D, Sarge T, O'Donnell C, Ritz R, Malhotra A, Lisbon A, Loring S. Esophageal and transpulmonary pressures in acute respiratory failure. Crit Care Med 2006;34(5):1389-1394.
15. Talmor D, Sarge T, Malhotra A, O'Donnell C, Ritz R, Lisbon A, et al. Mechanical ventilation guided by esophageal pressure in acute lung injury. N Engl J Med 2008;359(20):2095-2104.
16. Loring SH, O'donnell CR, Behazin N, Malhotra A, Sarge T, Ritz R, et al. Esophageal pressures in acute lung injury: do they represent artifact or useful information about transpulmonary pressure, chest wall mechanics, and lung stress? J Appl Physiol 2010;108(3):515-522.
17. Piraino T, Cook DJ. Optimal PEEP guided by esophageal balloon manometry. Respir Care 2011;56(4):510-513.
18. Washko G, O'Donnell C, Loring S. Volume-related and volume-independent effects of posture on esophageal and transpulmonary pressures in healthy subjects. J Appl Physiol Mar 2006;100(3):753-758.
19. Chiumello D, Carlesso E, Cadringher P, Caironi P, Valenza F, Polli F, et al. Lung stress and strain during mechanical ventilation for acute respiratory distress syndrome. Am J Respir Crit Care Med 2008;178(4):346-355.
20. Grasso S, Terragni P, Birocco A, Urbino R, Sorbo L, Filippini C, et al. ECMO criteria for influenza A (H1N1)-associated ARDS: role of transpulmonary pressure. Intensive Care Med 2012;38(3):395-403.