Am J Respir Crit Care Med July 2018 PMID 29373802

Positive End-Expiratory Pressure Lower Than the ARDS Network Protocol Is Associated with Higher Pediatric Acute Respiratory Distress Syndrome Mortality.

Robinder G Khemani, Kaushik Parvathaneni, Nadir Yehya, Anoopindar K Bhalla, Neal J Thomas, Christopher J L Newth

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Mentions

18
Peak: 6 in Feb 2019
across 3 sources since Jan 2019

Extended reach

53,426
potential audience

Total likes

88

Video views

1,391

Mentions per month

Jan 2019 – May 2024

Where it's discussed

  • X / Twitter11 posts
  • Facebook5 posts
  • YouTube2 videos

AI synopsis

What people are saying

The overall tone indicates strong agreement with the research, exemplified by phrases like 'we’re not doing the right thing' and 'clinical trials targeting PEEP are needed.' The posts show high interest and engagement in understanding the implications for clinical practice, emphasizing the importance of proper PEEP levels in reducing mortality and referencing specific study findings and recommendations for future research.

AgreementModerate agreement

Most discussions emphasize support for the findings, highlighting the higher mortality associated with lower PEEP levels and echoing the consensus in the research.

InterestHigh interest

Participants show strong curiosity and focus on the clinical implications, evidenced by mentions of the need for clinical trials and PEEP management strategies.

EngagementModerate engagement

The comments demonstrate active involvement, with references to study details, clinical practices, and implications for patient care.

ImpactHigh impact

The discussions reflect a recognition of the study's potential to influence clinical protocols and improve patient outcomes, suggesting high perceived impact.

Abstract in brief

  • The study found that pediatric patients with ARDS (acute respiratory distress syndrome) who were managed with lower PEEP levels than recommended by the ARDSNet protocol had a higher risk of death, even after accounting for other health factors.
  • Using data from multiple centers, researchers compared PEEP levels and mortality outcomes, discovering that lower PEEP was independently linked to increased mortality risk with an odds ratio of about 2.05.
  • The findings suggest that applying PEEP levels in line with or above the ARDSNet recommendations may improve survival in children with PARDS, highlighting the need for clinical trials to optimize PEEP management strategies.]

Top posts

Most liked on X and Bluesky
UVA PICU
@UVA_PICU · X

What we are reading in #PedsICU Journal Club this week: PEEP Lower Than the ARDS Network Protocol Is Associated with Higher pARDS Mortality. in @ATSBlueEditor by @RobyKhemaniMD @NJThomas6 #medtwitter https://t.co/rHuyTqVWJj

Mar 11, 2020 · 9 likes · 2 shares · 2,634 followers View post →
Sapna Kudchadkar, MD, PhD
@SapnaKmd · X

Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Mortality from @CHLA_PCCM #CCC48 https://t.co/9dmSZaQ9Ys

Feb 19, 2019 · 6 likes · 4 shares · 16,781 followers View post →
Ivens Giacomassi
@IvensGiacomassi · X

This week video is about the agreement between the seted PEEP and the PEEP table and its relation with the mortality in PARDS. #PedsICU #ardsnet Video: https://t.co/CjA9XbRJBi Text in @ATSBlueEditor https://t.co/HIllsLWQM5 https://t.co/fWpkM7ABHB

Jan 30, 2019 · 3 likes · 1 share · 1,040 followers View post →
Ken Tegtmeyer, MD, FCCM, FAAP
@pccm_doc · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 14,045 followers View post →
PICU Journal Watch #PedsICU #PedsCICU
@PICJournalWatch · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 10,030 followers View post →
Branden Engorn
@BrandenEngorn · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 2,100 followers View post →

All mentions

Ilana, MD
@ilanaPICUdoc · X

What about PEEP? Peep/fio2tables— we’re not doing the right thing. https://t.co/ujjSGlkMme https://t.co/3B5RjzKzrO

Jan 23, 2023 · 1,206 followers View post →
Jocelyn Grunwell, MD PhD
@GrunwellJocelyn · X

RT @UVA_PICU: What we are reading in #PedsICU Journal Club this week: PEEP Lower Than the ARDS Network Protocol Is Associated with Higher p…

Mar 11, 2020 · 2 shares · 1,205 followers View post →
UVA PICU
@UVA_PICU · X

What we are reading in #PedsICU Journal Club this week: PEEP Lower Than the ARDS Network Protocol Is Associated with Higher pARDS Mortality. in @ATSBlueEditor by @RobyKhemaniMD @NJThomas6 #medtwitter https://t.co/rHuyTqVWJj

Mar 11, 2020 · 9 likes · 2 shares · 2,634 followers View post →
@abejism
@abejism · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 20, 2019 · 4 shares · 73 followers View post →
PICU Journal Watch #PedsICU #PedsCICU
@PICJournalWatch · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 10,030 followers View post →
Branden Engorn
@BrandenEngorn · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 2,100 followers View post →
Ken Tegtmeyer, MD, FCCM, FAAP
@pccm_doc · X

RT @SapnaKmd: Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Morta…

Feb 19, 2019 · 4 shares · 14,045 followers View post →
Sapna Kudchadkar, MD, PhD
@SapnaKmd · X

Next up in #PedsICU Year in Review: Clinical studies. PEEP lower than ARDS Network Protocol is Assoc. with Higher PARDS Mortality from @CHLA_PCCM #CCC48 https://t.co/9dmSZaQ9Ys

Feb 19, 2019 · 6 likes · 4 shares · 16,781 followers View post →
UCI Pediatría HospitalUvRocío
@UCIPedHUVR · X

Patients with PARDS managed with lower PEEP relative to FiO2 than recommended by the ARDSNet model had higher mortality. Clinical trials targeting PEEP management in PARDS are needed. https://t.co/uOnlvw3PWA

Feb 3, 2019 · 1,232 followers View post →
Dani Martí Romeu
@jdanimarti · X

RT @IvensGiacomassi: This week video is about the agreement between the seted PEEP and the PEEP table and its relation with the mortality i…

Jan 30, 2019 · 1 share · 1,638 followers View post →
Ivens Giacomassi
@IvensGiacomassi · X

This week video is about the agreement between the seted PEEP and the PEEP table and its relation with the mortality in PARDS. #PedsICU #ardsnet Video: https://t.co/CjA9XbRJBi Text in @ATSBlueEditor https://t.co/HIllsLWQM5 https://t.co/fWpkM7ABHB

Jan 30, 2019 · 3 likes · 1 share · 1,040 followers View post →