Pulmonology Book

http://www.fpnotebook.com/

Positive End-Expiratory Pressure

Aka: Positive End-Expiratory Pressure, PEEP
  1. See Also
    1. Non-Invasive Positive Pressure Ventilation
    2. Mechanical Ventilation
    3. Bilevel Positive Airway Pressure (BIPAP)
    4. Continuous Positive Airways Pressure (CPAP)
    5. Acute Respiratory Failure
    6. High Humidity High Flow Nasal Oxygen (HHFNC)
  2. Indications
    1. Pulmonary condition with widespread alveolar collapse
    2. Adult Respiratory Distress Syndrome (ARDS)
      1. PEEP increases lung compliance
      2. PEEP decreases intrapulmonary shunting
      3. Increases PO2 and allows lower FIO2 below 60%
      4. May increase dead space ventilation
        1. Overdistends normal lung
    3. Pulmonary Edema
      1. PEEP allows decrease in FIO2 below 60%
      2. PEEP may increase extravascular lung water
  3. Indications: Disproved uses of PEEP
    1. Localized Lung Disease (e.g. lobar Pneumonia)
      1. PEEP may worsen Hypoxemia
        1. Overdistends normal lung
        2. Directs blood flow to diseased lung
      2. PEEP not recommended
        1. Unless selectively applied to diseased lung
    2. Prophylactic PEEP
      1. PEEP does not reduce ARDS Incidence
    3. Routine PEEP
      1. PEEP does not appear indiscriminately beneficial
    4. Mediastinal Bleeding
      1. PEEP does not protect against mediastinal bleeding
  4. Physiology
    1. PEEP maintains small end-expiratory pressure
      1. Helps to prevent alveolar collapse
      2. Promotes alveolar-capillary gas exchange
    2. Increases lung function parameters
      1. Increases Functional Residual Capacity (FRC)
    3. Increases Cardiac Output with low airway pressures
      1. May result in increased Oxygen Delivery
  5. Dosing
    1. Usual PEEP setting: 5 to 10 cm H2O
  6. Complications
    1. Decreased Cardiac Output
      1. Associated with higher airway pressures
      2. Associated with decreased ventricular filling
    2. Barotrauma
    3. Fluid Retention
    4. Intracranial Hypertension
  7. References
    1. Marino (1991) ICU Book, Lea & Febiger, p. 375-9

Positive End-Expiratory Pressure (C0032740)

Concepts Therapeutic or Preventive Procedure (T061)
MSH D011175
English PEEP, Positive end expiratory pressure, Positive End-Expiratory Pressure, positive end expiratory pressure (PEEP), positive end-expiratory pressure, positive end expiratory pressure, peeps, peep, positive pressure breathing, End-Expiratory Pressure, Positive, Pressure, Positive End-Expiratory, Pressures, Positive End-Expiratory, End-Expiratory Pressures, Positive, Positive End Expiratory Pressure, Positive End-Expiratory Pressures, Positive end-expiratory pressure
Italian Pressione positiva al termine dell'espirazione, Pressione positiva tele-espiratoria, Pressione positiva di fine espirazione
Dutch PEEP, positive end-expiratory pressure
French PEP (pression expiratoire positive), Pression de fin d'expiration positive
German PEEP, Positiver endexspiratorischer Druck, positiver endexpiratorischer Druck
Portuguese PEEP, Pressão Positiva Expiratória Final, Pressão expiratória final positiva
Spanish PTEP, Presión Positiva Espiratoria Final, Presión tele-espiratoria positiva
Japanese 終末呼気陽圧, PEEP, シュウマツコキヨウアツ, PEEP
Czech PEEP, Pozitivní tlak na konci expiria
Hungarian PEEP, Pozitív kilégzésvégi nyomás
Norwegian PEEP, Positivt endeekspiratorisk trykk
Sources
Derived from the NIH UMLS (Unified Medical Language System)


You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree