Optimal PEEP for open lung ventilation in ARDS | 合法醫療器材資訊網

2016年7月14日—TheaveragePEEPneededinpatientwithARDStokeeptheirlungopenisapproximatelythesame(approximately16cmH2O)independentlyonthe ...

The question of how to select the ideal PEEP for a patient, or how one would set up the ventilator for an ARDS patient, has not come up in the papers up until Question 29[1] from the second paper of 2016. It seems like something ICU trainees should probably be well-acquainted with, so that - when posed with the question "how do you decide what PEEP to set" - they do not dissolve into a puddle of warm gibberish.

If one were pressed for time, the best article to read about this topic would probably be Gattinoni et al (2015)[2], as it deals with this problem in a structured and straightforward manner. It almost resembles a college model answer in the way it is laid out. This article was the main resource for the summary below. Additional short notes can be found at the LITFL CCC archive[3].

In brief, the possible approaches are: