FAST18 came and went by so fast! Fortunately the boys at FlightbridgeED recorded all the talks. Here is a 20 minute talk I did on dialing in the right PEEP for your patient.
Optimizing PEEP
-Defining physiological PEEP
-Restoring FRC
-Finding The Sweet Spot
-Utilization of P-V loop and driving pressure to determine "best PEEP".
-Special Populations
References:
1.http://www.flightbridgeed.com/images/easyblog_images/487/Auto-peep.pdf
2.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414026/
3.http://www.pathwaymedicine.org/pulmonary-blood-flow-distribution
4.http://www.derangedphysiology.com/main/required-reading/respiratory-medicine-and-ventilation/Chapter%202.5.3/pressure-volume-and-flow-volume-loops