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Current respiratory care practitioners (RCPs) may find it hard to believe that dynamic hyperinflation and auto-PEEP remained clinically unrecognized long after the era of positive pressure ventilation had begun. It follows that during mechanical ventilation, the tidal volume will be superimposed on an auto-PEEP of ~ 5 cm H2O, thus minimizing parenchymal damage. The increased triggering threshold caused by auto-PEEP can be counteracted by increasing the set PEEP by 1 cm [H. |
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