Episode 314: Optimizing PEEP and Keeping Lungs Open in the ICU with Thomas Piraino and Brandon Oto

Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast

Jed Wolpaw

Health & Fitness

4.7 • 1.5K Ratings

🗓️ 10 August 2025

⏱️ 76 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

In this 314th episode I welcome Thomas Piraino and Brandon Oto to the show to discuss how we can optimize PEEP in the ICU. We talk about why it matters, different ways to estimate ideal PEEP, and what the research tells us.

Our Sponsors:
* Check out Eko: https://ekohealth.com/ACCRAC
* Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com
* Check out Factor: https://factormeals.com/accrac50off

Advertising Inquiries: https://redcircle.com/brands

Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

Click on a timestamp to play from that location

0:00.0	Hello and welcome back to Ack Rack.
0:15.3	I'm Jed Wolpaw, and I am really excited.
0:17.7	We have a fabulous show for you today.
0:19.2	I've got two awesome guests who are really experts in what we're going to talk about today, which is optimizing peep in the ICU, really trying to optimize the open lung, trying to keep patients lungs open, avoid at alecticist, and really try to find the ideal peep for patients in the ICU. It's a much more complex topic than I think a lot of people realizing
0:37.8	a lot of our residents these days just kind of assume there's maybe normal peep, which might
0:42.5	be five, and then maybe patients with lung injury might need some more peep. But there's a lot
0:47.2	more subtlety to it. And I will say that we're going to focus on the ICU. This absolutely can
0:51.8	apply in some different ways to the OR as well. So my first guest is Brandon Odo.
0:57.0	Brandon has been on the show before and I've been on his show. And we met way back when he was doing a
1:04.4	critical care physician assistant residency program at Johns Hopkins. He is now a critical care
1:10.4	physician assistant in the
1:11.3	medical ICU at Bridgeport Hospital. He's a clinical instructor with the Department of Medicine
1:14.9	at Yale School of Medicine. He did his residency, as I said, at Johns Hopkins, where we first met.
1:19.6	He's since worked clinically in medical, surgical trauma and neurological critical care settings.
1:23.7	He's chaired national committees within the Society of Critical Care Medicine and the
1:27.4	Society of Point of Care Ultrasound. And he's authored numerous educational reviews and textbook
1:31.2	chapters. He founded in co-hosts, the popular educational podcast Critical Care scenarios, which I
1:36.3	was a guest on. They do a fabulous job. And he manages the educational blog critical concepts,
1:41.0	and he teaches at the online intensive care academy. Really excited to have Brandon here with us.
1:45.5	And my second guest is Thomas Perrano.
1:47.8	Tom is a registered respiratory therapist, educator, and consultant.
1:51.5	He serves as an adjunct lecturer for the Department of Anesthesia at McMaster University.
	...

Transcript will be available on the free plan in 11 days. Upgrade to see the full transcript now.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Jed Wolpaw, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Jed Wolpaw and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.