Introduction to a series of posts titled "COVID-19: Keeping the baby in the bath", focusing on the need to build on existing knowledge in critical care and the appropriate testing of new therapies and innovations.
Part 4 of "COVID-19: Keeping the baby in the bath" discussing the setting of positive end expiratory pressure (PEEP) in critically ill COVID-19 patients.
Positive End-Expiratory Pressure (PEEP) is the maintenance of positive pressure within the lungs at the end of expiration
Dr Stacey Turner demonstrates the pros and cons of different strategies for apnoeic CPAP for pre-oxygenation of COVID-19 patients prior to intubation (video).
Intrinsic PEEP is also known as autoPEEP or PEEPi. Intrinsic PEEP occurs when the expiratory time is shorter than the time needed to fully deflate the lungs, preventing the lung and chest wall from reaching an elastic equilibrium point
A mechanically ventilated patient has high peak inspiratory pressures. You need to silence that incessant the alarm... What are you going to do?