Recruitment Maneuvers and Best PEEP

[@yuouyo676]

And to measure Best peep u have to go down from higher PEEP gradually

[@Colorado_Chris]

You really should be looking at compliance pre-post static hold and the best way is in pressure control via stepwise recruitment maneuvers. Static holds are now outdated and ventilators are building automatic recruitment maneuvers into their software (stepwise). Oxygenation tells you very little about optimal peep. You can also look at volumetric CO2 to get more information about deadspace pre-post recruitment too. No mention of driving pressure? I also saw you were talking about compliance but pointing to the tidal volume?

[@totheonewhoknows2074]

Exactly, the sustained chapter recruitment way is not recommended anymore, as (stepwise progressive recruitment Maneuver)SRM is the safe and ideal

[@armuk]

agreed, pretty much all modern ventilators now display dynamic compliance (Cdyn) so using the tidal volume as a surrogate marker is unnecessary

[@vladdanila5726]

Why not start with a higher peep and gradually go down until the elveoli collapse then recruit once more to that peep+2?

[@aysegulturgay1785]

does this means that you saying upper inflection point of the deflation limb is better than medify's suggestion of lower inflection point of inflation limb?

[@ahmedhamma7455]

very helpful thank you for sharing

[@chilvilly]

Thank you for video

[@maladjustified]

Excellent video, thank you so much.

[@emersonfox3650]

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[@dannythiago8315]

@Emerson Fox Instablaster =)

[@user-em9nq7kr6e]

Currently, recruitment maneuvers increase mortality. When using this maneuver it can cause an effect at the level of the right ventricle.

[@juventusjuve]

I don't think you are not a safe maneuver.. Patient is not paralized undergoing flow a synchrony in vc ventilation (look the volume and pressure curve with upward concavity)

[@stephaniec7216]

Yes!!!!

[@stephaniec7216]

Pt not paralyzed!! Not safe :(

[@deepakchsr]

Thank you

[@koby795]

Very interesting

[@Amanda-qw8rt]

Is there a preferred position for the patient to be in to maximize results? i.e. prone or supine

[@yuouyo676]

Or just press inspiratory hold.

[@stephaniec7216]

Lol

[@mohamedelgendy5670]

Wonderful Thank you so much

[@Alphadan]

This is not right, patient has inspiratory efforts and is not paralized or properly sedated.

[@dr.s.m.sureshbabu8699]

Wrong procedure