Evaluation of limiting PEEP effectiveness in preventing barotrauma in critically ill COVID-19 patients: A retrospective study.

Publication date: Jul 01, 2025

Severe acute respiratory syndrome coronavirus 2 can cause acute respiratory distress syndrome, requiring prolonged invasive mechanical ventilation. However, patients with coronavirus disease 2019 (COVID-19) undergoing invasive mechanical ventilation experience barotrauma. We assessed whether limiting the maximum positive end-expiratory pressure (PEEP) may prevent barotrauma more effectively than using PEEP/fraction of inspired oxygen (FiO) in patients with COVID-19 undergoing invasive mechanical ventilation. We retrospectively included patients who met the diagnostic criteria at our center; they were divided into an ordinary PEEP group (PEEP/higher FiO table) and a limited PEEP group (maximum PEEP of

Concepts Keywords
Coronavirus Aged
Covid Barotrauma
Limited Barotrauma
Respiratory Coronavirus disease 2019
Retrospective COVID-19
Critical Illness
Female
Humans
Intensive Care Units
Male
Mechanical ventilation
Middle Aged
Positive end-expiratory pressure
Positive-Pressure Respiration
Respiration, Artificial
Retrospective Studies
SARS-CoV-2

Semantics

Type Source Name
disease MESH critically ill
disease MESH COVID-19
disease MESH acute respiratory distress syndrome
drug DRUGBANK Oxygen
drug DRUGBANK Methionine

Original Article

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