Abstract

PEREZ NIETO, Orlando Rubén et al. PEEP: two sides of the same coin. Med. crít. (Col. Mex. Med. Crít.) [online]. 2021, vol.35, n.1, pp.34-46.  Epub Feb 28, 2022. ISSN 2448-8909.

For eons, the study on the management of positive end-expiratory pressure (PEEP) has been exponential and fundamental for the study of pulmonary pathologies, mainly due to its direct relationship with acute respiratory distress syndrome (ARDS) presenting changes and advances in pulmonary protection goals including low tidal volume (Vt), plateau pressure (Pp) below 30 cmH2O, maximum airway pressure (Paw) less than 35 mmH2O, distention pressure (ΔP) less than 13 mmH2O and application of PEEP greater than 5 cmH2O, reducing the mortality of this entity. The PEEP application involves a challenge to the clinician, its objective is to take the patient to the optimal point of this, achieving the opening of most alveoli and decreasing the ventilator-induced pulmonary injury (VILI), in turn affecting the others organs and systems.

Keywords : ARDS; driving pressure; compliance; PEEP; ventilator induced lung injury.

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