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in this video we will review some basics of auto-peep with a particular focus on the implications of ineffective trigger and how it can be managed the recognition and management of intrinsic peep also referred to as Auto peep or a cult peep are critical skills for providers caring for mechanically ventilated patients intrinsic peep occurs when the time for exhalation is shorter than the time needed to fully exhale resulting in progressive trapping of air in the lungs with each subsequent breath this phenomenon also called dynamic hyperinflation causes increased intrathoracic volume and pressure which may lead to decreased venous return to the right side of the heart eventual hemodynamic compromise and ultimately death if not recognized and treated in a timely manner obstructive lung diseases such as COPD and asthma predispose patients to development of intrinsic peep auto-peep can be directly measured by performing an expert Ori hold maneuver on the ventilator which occludes flow throu

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