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Optimal PEEP Guided by Esophageal Balloon...
Journal article

Optimal PEEP Guided by Esophageal Balloon Manometry

Abstract

A 45-year-old female was admitted to our ICU with severe ascites, and septic shock due to an obstructive ureteric stone. Despite an F(IO(2)) of 1.0, high PEEP, and multiple recruitment maneuvers, it was challenging to obtain an S(pO(2)) > 85% after the patient was turned. We inserted an esophageal balloon to determine whether the abdominal pressure was affecting lung compliance. PEEP was guided to a level of 32 cm H(2)O to achieve a …

Authors

Piraino T; Cook DJ

Journal

Respiratory Care, Vol. 56, No. 4, pp. 510–513

Publisher

Mary Ann Liebert

Publication Date

April 1, 2011

DOI

10.4187/respcare.00815

ISSN

0020-1324