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November 6, 2013Critical Care Medicine178 citations

Bedside Selection of Positive End-Expiratory Pressure in Mild, Moderate, and Severe Acute Respiratory Distress Syndrome*

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DCDavide ChiumelloMCMassimo CressoniECEleonora Carlesso

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Abstract

Bedside positive end-expiratory pressure selection methods based on lung mechanics or absolute esophageal pressures provide positive end-expiratory pressure levels unrelated to lung recruitability and similar in mild, moderate, and severe acute respiratory distress syndrome, whereas the oxygenation-based method provided positive end-expiratory pressure levels related with lung recruitability progressively increasing from mild to moderate and severe acute respiratory distress syndrome.

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Chiumello et al. (2013) studied this question.

synapsesocial.com/papers/69d7b87656b4d8a54e48f6f3https://doi.org/10.1097/ccm.0b013e3182a6384f
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1ACUTE RESPIRATORY DISTRESS IN ADULTS1967 · 4,313 citations
  2. 2The Pressure–Volume Curve Is Greatly Modified by Recruitment: A Mathematical Model of ARDS Lungs1998 · 414 citations
  3. 3Higher versus Lower Positive End-Expiratory Pressures in Patients with the Acute Respiratory Distress Syndrome2004 · 2,638 citations
  4. 4Higher vs Lower Positive End-Expiratory Pressure in Patients With Acute Lung Injury and Acute Respiratory Distress Syndrome2010 · 1,484 citations
  5. 5How large is the lung recruitability in early acute respiratory distress syndrome: a prospective case series of patients monitored by computed tomography2012 · 127 citations