Choosing adequate peep by measuring transpulmonary pressure with regard to respiratory pattern in patients with ards

Abstract

A clinical observation is presented, which demonstrates the dynamics of changes in respira
tory parameters in a patient with acute respiratory distress syndrome (ARDS). It is shown
that in patients with acute cerebral insufficiency (ACI) and acute respiratory failure at incor
rect diagnosis and management tactics, the time of stay on a respirator can be prolonged,
hospital-acquired infection can occur, and cerebral insufficiency can progress, which in turn
contributes to the increase in mortality. The article presents the advantages of timely selec
tion of PEEP by measuring transpulmonary pressure with further correction of respiratory
parameters taking into account the individual breathing pattern. Early lung opening, imp
roves neurological dynamics, increases the percentage of early weaning from the respirator
and reduces mortality.