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Improvement in Oxygenation Utilizing Transpulmonary Pressure Monitoring for Optimal Positive End-Expiratory Pressure

Stephen J Gleich1, Brenda M Schiltz2, Yves Ouellette2

  • 1From the Departments of Anesthesiology and Perioperative Medicine.

A&A Practice
|April 16, 2019
PubMed

Insights

Measuring transpulmonary pressure using esophageal manometry helped optimize positive end-expiratory pressure in a child with severe pediatric acute respiratory distress syndrome. This approach rapidly improved oxygenation and led to survival without complications.

Area of Science:

  • Pediatric Critical Care Medicine
  • Respiratory Physiology
  • Neonatology

Background:

  • Severe pediatric acute respiratory distress syndrome (PARDS) lacks established methods for optimal positive end-expiratory pressure (PEEP) titration.
  • Refractory hypoxemia is a significant challenge in managing severe PARDS.

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