PEEP

Question 1

What

Answer 1

Positive end expiratory pressure is a device that improves ventilation and oxygenation by decreasing the workload of breathing

Question 2

Action

Answer 2

“Eddie Smith Forgot Ivy Didn’t Intervene”
Expiratory pressure increases:
Splints small to medium airways
increases Functional residual capacity 
Increases intrathoracic pressure:
Decreases preload of RV
Increases after load of RV

Question 3

Indications

Answer 3

Adult
CPO: providing CPAP is indicated but not available and SpO2 <90% despite treatment:
10cmH2O w/o RR assistance
If not improvement: increase to 15cmH2O and if breathing ineffective provide assistance
TBI: 5cmH2O
Other: 10cmH2O

Child: other - 5cmH2O

Neonates: everything: 5cmH2O

Question 4

Cautions

Answer 4

Ventilation via ETT or LMA and pt has signs of shock

Ventilation via BVM and pt has decreased LOC or is vomiting

Question 5

Contraindications

Answer 5

Adult or child cardiac arrest