Positive end-expiratory pressure

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Overview

Positive end-expiratory pressure (PEEP) is a term used in mechanical ventilation to denote the amount of pressure above atmospheric pressure present in the airway at the end of the expiratory cycle. The equivalent in a spontaneously breathing patient is CPAP. PEEP is set on the ventilator.

Physiology

PEEP improves gas exchange by preventing alveolar collapse, recruiting more lung units, increasing functional residual capacity, and redistributing fluid in the alveoli.

Indications

Hypoxemia due to the following:

• ARDS
• Pneumonia
• Pulmonary edema
• Atelectasis

Contraindications

• Increased Intracranial Pressure
• Pneumothorax that has not been treated
• Bronchopleural fistula

References

• Chapter 225 Positive End-Expiratory Pressure

See also

• Positive pressure ventilation
• Positive airway pressure

External links

• MeSH Positive+End-Expiratory+Pressure

v • d • e WikiDoc Research Resources for Positive end-expiratory pressure
Articles on Positive end-expiratory pressure	Most recent articles on Positive end-expiratory pressure • Most cited articles on Positive end-expiratory pressure • Review articles on Positive end-expiratory pressure • Articles on Positive end-expiratory pressure in N Eng J Med, Lancet, BMJ
Media (Slides, Video, Images, MP3) on Positive end-expiratory pressure	Powerpoint slides on Positive end-expiratory pressure • Images of Positive end-expiratory pressure • Photos of Positive end-expiratory pressure • Podcasts & MP3s on Positive end-expiratory pressure • Videos on Positive end-expiratory pressure
Evidence Based Medicine Regarding Positive end-expiratory pressure	Cochrane Collaboration on Positive end-expiratory pressure • Bandolier on Positive end-expiratory pressure • TRIP on Positive end-expiratory pressure
Cost Effectiveness of Positive end-expiratory pressure	Cost Effectiveness of Positive end-expiratory pressure
Clinical Trials Involving Positive end-expiratory pressure	Ongoing Trials on Positive end-expiratory pressure at Clinical Trials.gov • Trial results on Positive end-expiratory pressure • Clinical Trials on Positive end-expiratory pressure at Google
Guidelines / Policies / Government Resources (FDA/CDC) Regarding Positive end-expiratory pressure	US National Guidelines Clearinghouse on Positive end-expiratory pressure • NICE Guidance on Positive end-expiratory pressure • NHS PRODIGY Guidance • FDA on Positive end-expiratory pressure • CDC on Positive end-expiratory pressure
Textbook Information on Positive end-expiratory pressure	Books and Textbook Information on Positive end-expiratory pressure
Pharmacology Resources on Positive end-expiratory pressure	Dosing of Positive end-expiratory pressure • Drug interactions with Positive end-expiratory pressure • Side effects of Positive end-expiratory pressure • Allergic reactions to Positive end-expiratory pressure • Overdose information on Positive end-expiratory pressure • Carcinogenicity information on Positive end-expiratory pressure • Positive end-expiratory pressure in pregnancy • Pharmacokinetics of Positive end-expiratory pressure •
Genetics, Pharmacogenomics, and Proteinomics of Positive end-expiratory pressure	Genetics of Positive end-expiratory pressure • Pharmacogenomics of Positive end-expiratory pressure • Proteomics of Positive end-expiratory pressure
Newstories on Positive end-expiratory pressure	Positive end-expiratory pressure in the news • Be alerted to news on Positive end-expiratory pressure • News trends on Positive end-expiratory pressure
Commentary on Positive end-expiratory pressure	Blogs on Positive end-expiratory pressure
Patient Resources on Positive end-expiratory pressure	Patient resources on Positive end-expiratory pressure • Discussion groups on Positive end-expiratory pressure • Patient Handouts on Positive end-expiratory pressure • Directions to Hospitals Treating Positive end-expiratory pressure • Risk calculators and risk factors for Positive end-expiratory pressure
Healthcare Provider Resources on Positive end-expiratory pressure	Symptoms of Positive end-expiratory pressure • Causes & Risk Factors for Positive end-expiratory pressure • Diagnostic studies for Positive end-expiratory pressure • Treatment of Positive end-expiratory pressure
Continuing Medical Education (CME) Programs on Positive end-expiratory pressure	CME Programs on Positive end-expiratory pressure
International Resources on Positive end-expiratory pressure	Positive end-expiratory pressure en Espanol • Positive end-expiratory pressure en Francais
Business Resources on Positive end-expiratory pressure	Positive end-expiratory pressure in the Marketplace • Patents on Positive end-expiratory pressure
Informatics Resources on Positive end-expiratory pressure	List of terms related to Positive end-expiratory pressure

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Acknowledgement and Attribution Regarding Sources of Content

Some of the initial content on this page may be incorporated in part from copyleft sources in the public domain including wikis such as Wikipedia and AskDrWiki. Drug information for patients came from the The National Library of Medicine. Infectious disease information may have come from the Centers for Disease Control (CDC). Differential Diagnoses are drawn from clinicians as well as an amalgamation of 3 sources: 1.The Disease Database; 2. Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:3; 3. Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:7 .