Overview
To investigate the physiological effects of high positive end-expiratory pressure (PEEP) during noninvasive ventilation in patients with hypoxemic respiratory failure, and to elucidate the mechanisms underlying high PEEP-induced improvement in oxygenation.
Eligibility
Inclusion Criteria:
- Age ≥ 18 years
- PaCO₂ ≤ 50 mmHg
- PaO₂/FiO₂ ≤ 300 mmHg
- Use of a noninvasive ventilator with esophageal pressure monitoring capability (e.g., Mindray SV70) -
Exclusion Criteria:
- Respiratory failure caused by heart failure, asthma, or acute exacerbation of chronic obstructive pulmonary disease (COPD) (COPD as a comorbidity may be included)
- Pneumothorax
- Patients who refuse to participate in this trial -


