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VOLUME 21 , ISSUE 5 ( May, 2017 ) > List of Articles

CASE REPORT

Titration of ideal positive end-expiratory pressure in acute respiratory distress syndrome: Comparison between lower inflection point and esophageal pressure method using volumetric capnography

Nandakishore Baikunje

Keywords : Acute respiratory distress syndrome, esophageal balloon, lower inflection point, optimal positive end-expiratory pressure, transpulmonary pressure

Citation Information : Baikunje N. Titration of ideal positive end-expiratory pressure in acute respiratory distress syndrome: Comparison between lower inflection point and esophageal pressure method using volumetric capnography. Indian J Crit Care Med 2017; 21 (5):322-325.

DOI: 10.4103/ijccm.IJCCM_11_17

License: CC BY-ND 3.0

Published Online: 01-05-2018

Copyright Statement:  Copyright © 2017; The Author(s).


Abstract

The tenets of mechanical ventilation in acute respiratory distress syndrome (ARDS) include the utilization of low tidal volume and optimal application of positive end-expiratory pressure (PEEP). Optimal PEEP in ARDS is characterized by reduction in alveolar dead space along with improvement in the lung compliance and resultant betterment in oxygenation. There are various methods of setting PEEP in ARDS. Herein, we report a patient of ARDS, wherein we employed measurement of dead space using volumetric capnography to compare two different PEEP strategies, namely, the lower inflection point and transpulmonary pressure monitoring.


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