However, whereas MCC was responsible for increasing the expiratory flow bias by 7 L/min, the contribution of the PEEP-ZEEP maneuver-performed during volume-controlled ventilation-was 49 L/min, which is highly significant and well above the threshold considered necessary for pulmonary secretion clearance (PEF − PIF difference > 33 L/min).
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Effects of manual chest compression on expiratory flow bias during the positive end-expiratory pressure-zero end-expiratory pressure maneuver in patients on mechanical ventilation.
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