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Is There Any Association between PEEP and Upper Extremity DVT?
Joint Authors
Shujaat, Adil
Faisal, Muhammad
Siddiqi, Furqan
Gupta, Ena
Seeram, Vandana
Louis, Mariam
Jones, Lisa
Bajwa, Abubakr A.
al-Saffar, Farah
Cury, James D.
Source
Critical Care Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-04-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
We hypothesized that positive end-exploratory pressure (PEEP) may promote venous stasis in the upper extremities and predispose to upper extremity deep vein thrombosis (UEDVT).
Methods.
We performed a retrospective case control study of medical intensive care unit patients who required mechanical ventilation (MV) for >72 hours and underwent duplex ultrasound of their upper veins for suspected DVT between January 2011 and December 2013.
Results.
UEDVT was found in 32 (28.5%) of 112 patients.
Nineteen (67.8%) had a central venous catheter on the same side.
The mean ± SD duration of MV was 13.2 ± 9.5 days.
Average PEEP was 7.13 ± 2.97 cm H2O.
Average PEEP was ≥10 cm H2O in 23 (20.5%) patients.
Congestive heart failure (CHF) significantly increased the odds of UEDVT (OR 4.53, 95% CI 1.13–18.11; P = 0.03 ) whereas longer duration of MV (≥13 vs.
<13 days) significantly reduced it (OR 0.29, 95% CI 0.11–0.8; P = 0.02 ).
Morbid obesity showed a trend towards significance (OR 3.82, 95% CI 0.95–15.4; P = 0.06 ).
Neither PEEP nor any of the other analyzed predictors was associated with UEDVT.
Conclusions.
There is no association between PEEP and UEDVT.
CHF may predispose to UEDVT whereas the risk of UEDVT declines with longer duration of MV.
American Psychological Association (APA)
al-Saffar, Farah& Gupta, Ena& Siddiqi, Furqan& Faisal, Muhammad& Jones, Lisa& Seeram, Vandana…[et al.]. 2015. Is There Any Association between PEEP and Upper Extremity DVT?. Critical Care Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1057640
Modern Language Association (MLA)
al-Saffar, Farah…[et al.]. Is There Any Association between PEEP and Upper Extremity DVT?. Critical Care Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1057640
American Medical Association (AMA)
al-Saffar, Farah& Gupta, Ena& Siddiqi, Furqan& Faisal, Muhammad& Jones, Lisa& Seeram, Vandana…[et al.]. Is There Any Association between PEEP and Upper Extremity DVT?. Critical Care Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1057640
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1057640