The Impact of Increased PEEP on Hemodynamics, Respiratory Mechanics, and Oxygenation in Pediatric ARDS.
Autor: | Junqueira, Fernanda M. D., Ferraz, Isabel S., Campos, Fábio J., Matsumoto, Toshio, Brandão, Marcelo B., Nogueira, Roberto Jn, de Souza, Tiago H. |
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Předmět: |
ADULT respiratory distress syndrome treatment
STATISTICAL power analysis OXYGEN saturation POSITIVE end-expiratory pressure ACADEMIC medical centers DATA analysis RESPIRATORY insufficiency OXYGEN therapy HEMODYNAMICS TREATMENT effectiveness DESCRIPTIVE statistics BRONCHITIS REACTIVE oxygen species OXYGEN in the body LONGITUDINAL method COMMUNITY-acquired pneumonia CARDIAC output FRIEDMAN test (Statistics) STATISTICS ANALYSIS of variance ARTIFICIAL respiration INTENSIVE care units RESPIRATORY organs DATA analysis software RESPIRATORY mechanics ECHOCARDIOGRAPHY CHILDREN |
Zdroj: | Respiratory Care; Nov2024, Vol. 69 Issue 11, p1409-1416, 8p |
Abstrakt: | BACKGROUND: PEEP is a cornerstone treatment for children with pediatric ARDS. Unfortunately, its titration is often performed solely by evaluating oxygen saturation, which can lead to inadequate PEEP level settings and consequent adverse effects. This study aimed to assess the impact of increasing PEEP on hemodynamics, respiratory system mechanics, and oxygenation in children with ARDS. METHODS: Children receiving mechanical ventilation and on pressure-controlled volume-guaranteed mode were prospectively assessed for inclusion. PEEP was sequentially changed to 5, 12, 10, 8 cm H |
Databáze: | Supplemental Index |
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