Higher Versus Lower PEEP in Patients with ARDS
Acute respiratory melancholy syndrome is touch more and more people for many reasons. People be living to a more advanced age. This, combined with histories of consume and COPD, creates a situation where if a patient becomes critically chastening and must be hospitalized, they are often times rigid on a ventilator to assist with ventilation and perfusion. thither is an ongoing debate as to the effectiveness of a high positive end-expiratory pressure setting over a overturn positive end-expiratory setting. This research study by Briel, Meade, Mercat, Brower, Talmor, Walter, Slutsky, Pullenayegum, Zhou, Cook, Brochard, Richard, Lamontagne, Bhatnagar, Stewart, and Guyatt (hereafter referred to as Briel, et. Al) discusses few of the studies conducted and the data collected during said studies. The data was collected and study using quantitative research and the following will look for to explain and critique this study.
Identification/explanation of phenomenon
The key imagination of this study was to evaluate the association of higher versus degrade PEEP, with patient-important outcomes, in adults with acute lung injury and/or acute respiratory distress syndrome (ALI/ARDS).
These patients were all receiving low tidal volumes and it was investigated whether or not these associations were diametric across the ALI/ARDS populations.
Structure of the study
Purpose
The purpose of the study was to influence if there was a difference in outcomes in a ventilated ARDS patient on higher PEEP with low tidal volumes versus a patient on lower PEEP with low tidal volumes and how these differences affected mortality. There were one-third trials conducted to determine these differences. These trials were ALVEOLI (2004), LOVS (2006), and EXPRESS (2008).
Method
Design.
The design used was a descriptive exploratory, secondary analysis of a randomized controlled trial.
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