Deflated? Esophageal pressure monitoring in ARDS
Lung protective ventilation limiting tidal volume and plateau pressure improves survival in ARDS. The application of positive end-expiratory pressure (PEEP) further stabilizes the lung by preventing alveolar collapse during expiration, thereby reducing cyclic atelectasis. However, the optimal approach to PEEP titration to minimize ventilator-induced lung injury (VILI) has not been delineated. Numerous methods have been utilized to adjust PEEP in ARDS, including titration to optimal oxygenation or driving pressure as well as ARDSnet PEEP tables.
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