Evaluation of the levels of auto-PEEP in the patients with acute respiratory failure required mechanical ventilation
- Author:
Nguyen Thi Du
- Publication Type:Journal Article
- Keywords:
Respiratory failure
- MeSH:
Positive-Pressure Respiration, Intrinsic;
Respiratory Insufficiency;
Respiration, Artificial
- From:Journal of Medical Research
2004;27(1):46-51
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
We have studied 27 patients on medical ventilation in whom we measured auto-PEEP by means of end expiratory airway occlusion. Four patients with ARDS had 10.25 2.05 cm H2O of auto PEEP. Six patients with COPD had 12.83 4.98 cm H2O of auto PEEP. Seven patients with acute severe asthma had 20.29 7.21 cm H2O of auto PEEP. Ten patients with neuromuscular disease had 5.2 4.07 cm H2O of auto PEEP. PEEP was set equal to half the auto-PEEP to treat patients with ARDS, COPD and acute severe asthma. We have show that the value of auto PEEP fell to 4.67 3.7 cm H2O in patient with ARDS, to 7 2.31 in patient of COPD and to 9.71 1.67 in patients of asthma. PEEP 50% of auto-PEEP is safe and does not worsen pulmonary hyperinflation
