CASE REPORT: OPTIMIZING POSITIVE END-EXPIRATORY PRESSURE USING ESOPHAGEAL BALLOON CATHETER MONITORING IN ARDS

Authors

  • Ahmad Alessa1, Badr Allehyani2, Ammar Baalkhir3, Ali Alanazi4, Faris Altuwairqi5, Ahmed Samir Ahmed6, Ibrahim R. Elkeshta7, Osama Dakka8 , Mohamed Helaly9 Author

Keywords:

Optimizing, Positive, End-Expiratory, Pressure Esophageal Balloon Catheter Monitoring ARDS.

Abstract

Background:
Mechanical ventilation in patients with Acute Respiratory Distress Syndrome (ARDS) presents significant challenges, particularly in those with altered respiratory mechanics due to conditions like obesity. This case report explores the use of an esophageal balloon catheter for optimizing Positive End-Expiratory Pressure (PEEP) in a critically ill patient with ARDS.

Case Presentation:

A 46-year-old male with morbid obesity (BMI of 62 kg/m²), hypertension, and chronic Helicobacter pylori infection presented with symptoms of abdominal distention, constipation, shortness of breath, and oliguria. The patient was diagnosed with acute and chronic respiratory acidosis, leading to respiratory failure. Despite initial management with BiPAP therapy and mechanical ventilation, the patient's oxygenation remained inadequate.

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Published

2025-10-01

Issue

Vol. 10 No. 1 (2025)

Section

Articles