Retrospective Review of Transpulmonary Pressure Guided Positive End-Expiratory Pressure Titration for Mechanical Ventilation in Class II and III Obesity.

ABSTRACT:

Objectives

Acute respiratory distress syndrome is treated by utilizing a lung protective ventilation strategy. Obesity presents with additional physiologic considerations, and optimizing ventilator settings may be limited with traditional means. Transpulmonary pressure (P_L) obtained via esophageal manometry may be more beneficial to titrating positive end-expiratory pressure (PEEP) in this population. We sought to determine the feasibility and impact of implementation of a protocol for use of esophageal balloon to set PEEP in obese patients in a community ICU.

Design

Retrospective cohort study of obese (body mass index [BMI] ≥ 35 kg/m²) patients undergoing individualized PEEP titration with esophageal manometry. Data were extracted from electronic healt

SUBMITTER: Liou J 

PROVIDER: S-EPMC9061141 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature