![]() ![]() So, for the ventilator to accurately measure the plateau pressure in the lung, the clinician must create an inspiratory pause by pressing the inspiratory hold button for about a second or so to keep the lung in a pause or inflated static state.Īnd remember, it's important to monitor this pressure regularly to ensure that the ventilator settings are not causing harm to the lung. The peak inspiratory pressure (PIP) is the highest pressure measured during the respiratory cycle and is a function of both the resistance of the airways and. It only measures lung or alveolar pressure when the lung is in a static state. no gas delivery to the patient, low peak inspiratory pressure (PIP), low tidal volume (VT), low or high minute volume (MV), low positive end-expiratory pressure and continuous positive airway pressure. Now, unlike the peak pressure, the plateau pressure only monitors the pressure in the lung-not the pressure in the ventilator circuit or the ET tube, or even the volume flowing through the airways. For example, meconium aspiration, PPHN, or infants with normal lungs who require ventilation for other reasons (such as hypoxic brain injury or a neuromuscular disorder).The following is therefore intended as an introduction to the basics and an initial guide. Ensure your knowledge on Mechanical Ventilation: Troubleshooting follows the latest clinical guidelines and is reflective of best practices. The plateau pressure is the pressure inside the lung once a breath has been delivered. ![]() But, just as important as, or perhaps even more important than, the monitoring of the PIP, is the monitoring of the plateau pressure. NIV achieves comparative physiological benefits to conventional mechanical ventilation by reducing the work of breathing and improving gas exchange.
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