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Fig. 8 | Intensive Care Medicine Experimental

Fig. 8

From: Personalizing mechanical ventilation according to physiologic parameters to stabilize alveoli and minimize ventilator induced lung injury (VILI)

Fig. 8

Pressure-time (P-t) curves demonstrating the concept of using stress index to personalize PEEP. Using the power equation P L = at b + c, b describes the shape of the P-t curve. When b < 1, the shape of the curve is a downward concavity as compliance increases over time. When b > 1, the curve has an upward concavity as compliance decreases over time. When b = 1, the P-t curve is straight and compliance is constant. Adjusting tidal volume (Vt) and PEEP so that b = 1 produces minimal lung stress, if b < 1 would produce low-lung volume stress and b > 1 would cause high-lung volume stress [105]

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