Document Detail


Auto-PEEP: an impediment to weaning in the chronically ventilated patient.
MedLine Citation:
PMID:  1873115     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Auto-positive end expiratory pressure (auto-PEEP) is a physiologic event that is a recently recognized phenomenon common to mechanically ventilated patients. Auto-PEEP occurs when forces exist that limit expiration and the subsequent elimination of positive pressure from the lungs. If positive pressure is retained, a potential reduction in cardiac output and increase in complications from barotrauma arise. Because of possible physiologic problems associated with it, auto-PEEP can potentially interfere with weaning from mechanical ventilation. Nursing measures that can reduce the effect of auto-PEEP during weaning are centered on improving the inspiratory/expiratory flow patterns. These efforts include manipulating mechanical ventilator settings and reducing causes of increased respiratory rates (e.g., pain and anxiety). Since auto-PEEP was only recently identified as a potential impediment to weaning from mechanical ventilation, the nurse must be aware of the need to assess for the presence of auto-PEEP in these patients.
Authors:
L K Geisman; T Ahrens
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  AACN clinical issues in critical care nursing     Volume:  2     ISSN:  1046-7467     ISO Abbreviation:  AACN Clin Issues Crit Care Nurs     Publication Date:  1991 Aug 
Date Detail:
Created Date:  1991-09-26     Completed Date:  1991-09-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9009969     Medline TA:  AACN Clin Issues Crit Care Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  391-7     Citation Subset:  N    
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MeSH Terms
Descriptor/Qualifier:
Aged
Hemodynamics / physiology
Humans
Male
Middle Aged
Nursing Assessment / methods*
Patient Care Planning
Positive-Pressure Respiration / nursing*
Respiration / physiology
Ventilator Weaning / methods,  nursing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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