mhi and peep

[Martin345]

thoughts on manual hyperinflation for patients on moderately high peep (i'm thinking 8-10cmh2o)??

some say yes use a peep valve, but others argue if they're that peep dependent then they shouldn't be disconnected and you could do manual breaths on the ventilator.

your practice?

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[gpywwp]

with increasing peep, the peak expiratory flow rate reduces, so the effectiveness of mh as a modality to mobilize secretions also reduces.

reference:
www.anesthesia-analgesia....100/4/1112