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OXYGENATION GOAL: PaO2 55-80 mmHg or SpO2 88-95%. Use a minimum PEEP of 5 cm H2O. Consider use of incremental FiO2/PEEP combinations such as shown below (not required) to achieve goal.
3 de nov. de 2020 · increase PEEP with increasing FiO2 (5-24 cmH2O) according to a sliding scale (see table below) aim for plateau pressure (Pplat) <30cmH2O. if necessary decrease TV stepwise by 1 mL/kg PBW to a minimum of 4 mL/kg PBW; If Pplat < 25 cmH20, increase TV stepwise by 1 mL/kg PBW until Pplat >25 cmH20 or TV of 6 mL/kg PBW
8 de sept. de 2021 · The ARDSnet trial used a PEEP table to pair different levels of PEEP with FiO2 (figure above). Subsequent studies have investigated the use of higher levels of PEEP. Meta-analysis of RCTs found that the higher PEEP table reduced mortality among patients with moderate to severe ARDS.
22 de jul. de 2004 · Most patients requiring mechanical ventilation for acute lung injury and the acute respiratory distress syndrome (ARDS) receive positive end-expiratory pressure (PEEP) of 5 to 12 cm of water.
• La PEEP (presión positiva al final de la expiración) debe aplicarse de regla. Sugerimos iniciar la VM con PEEP entre 5 y 10 cmH2O, siendo mayor mientras más compromiso en la oxigenación tenga el paciente.
El modelo de mortalidad en lesión pulmonar aguda: ARDSNet utilizado en el estudio ARMA, se ha planteado como más espe-cífi co, simple y predictivo de mortalidad, por lo que es importante evaluar si en nuestra población es aplicable como predictor pronóstico.
Whether higher PEEP improves clinical outcomes among patients with acute respiratory distress syndrome (ARDS) is unclear. Objectives: To compare clinical outcomes of mechanical ventilation strategies using higher PEEP levels versus lower PEEP strategies in patients with ARDS.
