Can any one tell whether high peep nd low tidal volume or low peep low tidal vol given in covid- 19 ventilation?
sir kindly clarify since high peep can cause barotrauma ? That’s why I asked this
Every modality of ventilation has one or more pros and cons
E.g. High PEEP can cause Barotrauma while High TV can cause Volutrauma
So it doesn’t exactly as much depend on aetiology (per se) as much as it depends on the pathology of lung injury and pathology that has lead to the Ventilation
As COVID19 is notorious for causing ARDS, the low TV high PEEP strategy that has proven beneficial in ARDS can be followed in such cases.
High peep(positive end expiratory pressure) as the name suggest keeps some pressure and prevents collapse , is given to overcome surfactant deficiency in ards , it helps in preventing collapse of lung. Ards is an acquired cause of surfactant deficiency.
Yes as explained…
High peep… low vt
In icu the goal is to monitor the patient…
All modes have some or other issues…
We should know what to monitor…