Eleraki, S., Ahmed, H., Abdelrahman, H., Kandeel, N. (2021). The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients. test, 8(2), 143-160. doi: 10.21608/mnj.2021.213087
Samah Eleraki; Hanaa Ahmed; Hala Ahmed Abdelrahman; Nahed Attia Kandeel. "The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients". test, 8, 2, 2021, 143-160. doi: 10.21608/mnj.2021.213087
Eleraki, S., Ahmed, H., Abdelrahman, H., Kandeel, N. (2021). 'The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients', test, 8(2), pp. 143-160. doi: 10.21608/mnj.2021.213087
Eleraki, S., Ahmed, H., Abdelrahman, H., Kandeel, N. The Effect of Different Values of Positive End Expiratory Pressure on Ventilation Parameters among Critically Ill Patients. test, 2021; 8(2): 143-160. doi: 10.21608/mnj.2021.213087

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, Pages 143-160    PDF (636.68 K)
Document Type: Original Article
DOI: 10.21608/mnj.2021.213087
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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