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REVIEW MAJID M. MUGHAL, McDaniel A. CULVER, Assistant Professor of Medicine, University of South Alabama Medical Center, MobileDepartment of Pulmonary, Allergy, and Critical Care Medicine, The Cleveland
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How to fill out auto-positive end-expiratory pressure

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How to fill out auto-positive end-expiratory pressure

01
Set the patient up in a semi-recumbent position.
02
Connect the patient to a mechanical ventilator.
03
Adjust the ventilator settings to enable the auto-PEEP feature.
04
Monitor the patient's response to the auto-PEEP and make adjustments as necessary.

Who needs auto-positive end-expiratory pressure?

01
Patients with conditions such as acute respiratory distress syndrome (ARDS), COPD, or other lung diseases that may benefit from increased lung recruitment and improved oxygenation.
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Auto-positive end-expiratory pressure (auto-PEEP) refers to the pressure that remains in the airways at the end of expiration due to incomplete exhalation of air, which can lead to increased work of breathing and reduced lung compliance.
Auto-positive end-expiratory pressure is generally a concept utilized by medical professionals in respiratory therapy and is not a filing requirement in regulatory terms. However, for specific reporting on patients requiring mechanical ventilation, healthcare providers must document relevant clinical information.
To fill out documentation related to auto-positive end-expiratory pressure, healthcare providers should accurately record the patient’s airway pressure levels during mechanical ventilation assessments, including any observed auto-PEEP effects.
The purpose of auto-positive end-expiratory pressure is to maintain alveolar recruitment and prevent airway collapse by keeping the airways partially inflated at the end of expiration, thus improving gas exchange.
Information that must be reported includes the level of auto-PEEP observed, patient vital signs, the mode of ventilation used, and any interventions taken to manage auto-PEEP during therapy.
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