Publication:
Prophylactic positive end-expiratory pressure: are good intentions enough?

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Date

2003-04-07

Authors

Fernández-Mondéjar, Enrique
Chavero, Ma Jesus
Machado, Juan

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BioMed Central
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Abstract

Few actions taken by intensivists are as effective and inexpensive as application of positive end-expiratory pressure (PEEP). However, the use of this ventilatory modality is highly susceptible to fashions and trends that are rarely supported by scientific evidence. Prophylactic PEEP can be considered an exception, in that there is scientific evidence that it offers no benefit. Nevertheless, we must confess that we use prophylactic PEEP. The issue is worthy of some reflection.

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Medical Subject Headings::Organisms::Eukaryota::Animals::Chordata::Vertebrates::Mammals::Primates::Haplorhini::Catarrhini::Hominidae::Humans
Medical Subject Headings::Analytical, Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Airway Management::Respiration, Artificial::Positive-Pressure Respiration
Medical Subject Headings::Diseases::Respiratory Tract Diseases::Respiration Disorders::Respiratory Distress Syndrome, Adult
Medical Subject Headings::Disciplines and Occupations::Health Occupations::Evidence-Based Practice::Evidence-Based Medicine

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Keywords

Humanos, Respiración con presión positiva, Síndrome de dificultad respiratoria del adulto, Medicina basada en la evidencia

Citation

Fernández-Mondéjar E, Chavero MJ, Machado J. Prophylactic positive end-expiratory pressure: are good intentions enough? Crit Care. 2003; 7(2):191