Lyrics:

PEEP – Positive End-Expiratory Pressure,

Not just a number, it's lung protection’s treasure.

Back in the day, Barach lit the spark,

Now ARDSnet’s got us hitting the mark.

It ain’t just a dial, it’s a lifeline move,

Recruits collapsed alveoli, keeps the gas groove.

From zero to hero, it’s part of the plan,

To oxygenate better than we ever began.

Keep it PEEP, hold the line,

Open lungs and flow divine.

From babies to the OR suite,

Let your pressure game be elite.

Start low, go slow, don’t overdo,

Every breath counts, that much is true.

Balance the risk, know the signs –

PEEP is power when it's well-aligned.

FRC’s the base, compliance is the key,

PEEP keeps the alveoli dancing free.

O₂ goes up, V/Q mismatch down,

Circulation steady, no need to frown.

But watch the heart – preload might dip,

Barotrauma’s real, don’t let it slip.

It's a tightrope walk, not a static set,

Dynamic care is your best bet.

ARDS? You know the net’s your start,

Pulmunary edema? PEEP can play its part.

COPD’s tricky – auto-PEEP beware,

Set your trigger right, show the lungs you care.

Intraop finesse, a gentle flow,

Five to seven cmH₂O.

Add EIT? That’s next-gen flair,

Visualize the lungs and titrate with care.

Keep it PEEP, hold the line,

Open lungs and flow divine.

From babies to the OR suite,

Let your pressure game be elite.

Start low, go slow, don’t overdo,

Every breath counts, that much is true.

Balance the risk, know the signs –

PEEP is power when it's well-aligned.

ART, PROVHILO, EPVent – we read,

Personalized settings – that's the lead.

AI steps in, EIT scans show,

Where the lungs move and how they grow.

Closed-loop dreams becoming real,

Machine and mind – the perfect deal.

Patient-centered, minute by minute,

The future of PEEP has no limit.

ARDS prone, PEEP titrate slow,

Recruitment wins when the numbers flow.

COPD? Watch the trap,

Auto-PEEP sneaks like a pressure snap.

Obese in surgery? Low PEEP is fine,

But watch for collapse – read the sign.

Daily check, reevaluate,

PEEP is care that’s up to date.

PEEP’s not a number – it’s a philosophy.

A conversation between lungs and life.

Individualize. Visualize. Optimize.
And always… reevaluate.