title: Hemodynamic consequences of auto-PEEP.
abstract: Auto-positive end-expiratory pressure (PEEP) is a common but frequently unrecognized problem in critically ill patients. It has important physiologic consequences and can cause shock and cardiac arrest. Treatment consists of relieving expiratory airflow obstruction and reducing minute ventilation delivered by positive pressure ventilation. Sedation and fluid management are important adjunctive therapies. This analytic review discusses the prevalence, pathophysiology, and hemodynamic consequences of auto-PEEP and an approach to its treatment.
authors.affiliation: Division of Pulmonary and Critical Care Medicine, Weill Cornell Medical College, New York, NY, USA.
authors.forename: David
authors.initials: D
authors.lastname: Berlin
mesh_terms: D000402:Airway Obstruction / Q000628:therapy*; D003422:Critical Care / Q000379:methods; D005440:Fluid Therapy; D006323:Heart Arrest / Q000209:etiology; D006439:Hemodynamics / Q000502:physiology*; D006801:Humans; D006993:Hypnotics and Sedatives / Q000008:administration & dosage; D018467:Positive-Pressure Respiration, Intrinsic / Q000150:complications* / Q000453:epidemiology / Q000503:physiopathology* / Q000628:therapy; D015995:Prevalence; D012121:Respiration, Artificial / Q000379:methods; D012772:Shock, Septic / Q000209:etiology
chemical_list: D006993:Hypnotics and Sedatives