Thus, the currently recommended strategy of setting
PEEP without regard to transpulmonary pressure is predicted to benefit some patients while
harming others. Recently the use of esophageal manometry to identify the optimal ventilator
settings, avoiding both under-inflation and over-inflation, was proposed. This method shows promise
but awaits larger clinical trials to assess its impact on clinical outcomes…..
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November 27, 2010
Respiratory Care 2010 vol. 55 (2) pp. 162-74