When should CPAP/PEEP be used?

The use of Continuous Positive Airway Pressure (CPAP) or Positive End-Expiratory Pressure (PEEP) is determined based on the clinical situation and the needs of the patient. Utilizing CPAP/PEEP should be guided by the healthcare provider's assessment of the patient's respiratory mechanics, oxygenation status, and overall condition.

These settings can be beneficial in a variety of scenarios, including cases of acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD) exacerbations, and other conditions that result in hypoxemia or difficulty maintaining adequate lung expansion. The provider may decide to implement CPAP/PEEP to improve oxygenation, facilitate better lung compliance, and prevent atelectasis.

Using CPAP/PEEP strictly in emergencies would limit their potential benefits, as these modalities can be used in both urgent and non-urgent situations depending on the patient's needs. Similarly, stating that they should always be used during ventilation or only after sedatives are administered does not take into account the individualized approach required for effective respiratory management. The decision is ideally made by assessing the patient's unique circumstances and the potential benefits and risks of applying these pressures.