PEEP and "reverse mismatch". A case where less PEEP is best.

Hawker, F H; Torzillo, P J; Southee, A E · Chest · 1991

case_report · Level V

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Abstract

A V/Q lung scan was obtained in a patient with LLL collapse who was receiving IPPV and PEEP. This revealed absent ventilation and hyperperfusion to the collapsed lobe. After a reduction in PEEP from 12 to 5 cm H2O, a repeat V/Q scan showed a more even distribution of pulmonary perfusion. Arterial hypoxemia improved.

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