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PEEP Reference
Positive End-Expiratory Pressure (PEEP) maintains alveolar recruitment and prevents atelectasis. The ARDSNet protocol provides FiO2/PEEP tables as a guideline for titration.
Disclaimer
This calculator is for educational purposes only. Always verify with clinical judgment.
PEEP Lookup
ARDSNet PEEP/FiO2 Table
| FiO2 | Lower PEEP (cmH2O) | Higher PEEP (cmH2O) |
|---|---|---|
| 0.30 | 5 | 5 |
| 0.40 | 5-8 | 8 |
| 0.50 | 8-10 | 10 |
| 0.60 | 10 | 10 |
| 0.70 | 10-14 | 12 |
| 0.80 | 14 | 14 |
| 0.90 | 14-18 | 14-18 |
| 1.00 | 18-24 | 18-24 |
PEEP Guidelines
Baseline: 5 cmH2O is the standard starting PEEP for most patients.
Neonates: PEEP of 4-6 cmH2O is commonly used. Higher PEEP (6-8 cmH2O) may be appropriate for severe RDS.
Titration: Increase PEEP in increments of 1-2 cmH2O based on oxygenation response and hemodynamic stability.
Monitoring: Watch for overdistension, decreased cardiac output, and air leak syndrome with high PEEP settings.
References
- ARDS Network. Ventilation with Lower Tidal Volumes. NEJM 2000;342:1301-8.
- Walsh BK. Neonatal and Pediatric Respiratory Care, 5th Edition.