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New concept for me too. But we use it more as well. From my understanding, you can tell a few things with that number. It can be use in esthablishing alveoli recruitment to assess and determine the volume to give to recruit( see thread in MICU+SICU).It can help in problem shooting, if your peak airway is high but your plateau is normal the your trouble is in the airway( secretions,bronchoconstriction,ect). At least( which actually should be first but I though of it last8), It can help determine if you should use pressure or volume mode on the vetilator. If you have high plateau maybe pressure would be more safe to use then volume mode
Over the last year or so I have seen allot of new info on ARDS. One of the concepts that people are starting emphasize is the plateau pressure. I know most people monitor the peak insp. pressure. I was curious to see how many providers are now monitoring the plateau pressure. It looks like the plateau pressure is very important when looking at the development of lung injury and ARDS.
It is good to see somebody else using it. I do not see it catching on down where I live and work. Is this a trend in Canada?
It is good to see somebody else using it. I do not see it catching on down where I live and work. Is this a trend in Canada?
GilaRRT
1,905 Posts
Over the last year or so I have seen allot of new info on ARDS. One of the concepts that people are starting emphasize is the plateau pressure. I know most people monitor the peak insp. pressure. I was curious to see how many providers are now monitoring the plateau pressure. It looks like the plateau pressure is very important when looking at the development of lung injury and ARDS.