Highest PEEP you've seen?

I saw a PEEP of 20 or 25 when a post op heart was bleeding. However, some really bad ARDS can get up there like yours. When it's so high like that they get so much Barotrauma. Those poor lungs =\

I've seen 15 in a baby...24, yikes!

Peep of 40

Whats a PEEP? (nursing student here..)

Whats a PEEP? (nursing student here..)

Not sure how far into your semesters...it's Positive-End-Expiratory Pressure

You'll get more concrete details in your studies; although here's the Wikipedia version:

http://en.m.wikipedia.org/wiki/Positive_end-expiratory_pressure

Don't blow a bleb. What were the other settings. I would think that if you're that high in peep, it's time to try something else. (if there is something else)

In the case of peep of 40 I mentioned the patient was over 800lbs. And severely septic. Unfortunately despite our efforts did not make it (but did for 5 or 6 days with that 40 of peep and 100% fi02) patient was also on 200 of neo .07 vasopressin 60 to 80 of norepi and 80 to 100mcg/min epi

Per ARDSnet protocol you can use a PEEP of 24 cmH2O. Anybody who has worked the ICUs for 20+ years might remember PEEPs of 50 or more in trauma patients.