The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients | ||||
Mansoura Nursing Journal | ||||
Article 11, Volume 8, Issue 2, July 2021, Page 143-160 PDF (636.68 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/mnj.2021.213087 | ||||
View on SCiNiTO | ||||
Authors | ||||
Samah Eleraki1; Hanaa Ahmed2; Hala Ahmed Abdelrahman3; Nahed Attia Kandeel4 | ||||
1Nurse Specialist, Mansoura University Hospital | ||||
2Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
3Lecturer, Critical Care, and Emergency Nursing Department, Faculty of Nursing, Mansoura University | ||||
4Professor of Critical Care and Emergency Nursing, Faculty of Nursing, Mansoura University, Egypt | ||||
Abstract | ||||
Background:The application of mechanical ventilation for critically ill patients is a life-support system that can maintain their adequate lung function. Positive end-expiratory pressure is a significant adjunct mode for mechanically ventilated patients. Historically, it is ordinarily applied for mechanically ventilated patients to improve oxygenation and alveolar ventilation and reduce alveolar atelectasis and ventilation/perfusion mismatch. Although several international studies revealed the extensive positive effects of high positive end-expiratory pressure (≥ 10 cmH2O) for critically ill patients with or without lung disorders, low levels of positive end-expiratory pressure (3 to 5 cmH2O) are regularly used for mechanically ventilated patients.Aim: The current study aimed to investigate the effect of different values of positive end-expiratory pressure on ventilation parameters among critically ill patients. Method:A quasi-experimental research design was utilized in the current study involving a convenience sample of 164 adult mechanically ventilated patients. Data were collected using a critically ill patient's ventilation parameters assessment tool. Results:The current study revealed that the modification of positive endexpiratory pressure values from moderate (6-8 cmH2O) to high (8-10 cmH2O) improved patients’ ventilatory parameters. More investigations are required to support the evidence of using this approach when caring for mechanically ventilated patients. | ||||
Keywords | ||||
Positive End-Expiratory Pressure; Ventilation Parameters; Critically Ill Patients | ||||
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