Can PEEP cause a pneumothorax

Positive end-expiratory pressure (PEEP) can potentially contribute to the development of a pneumothorax, particularly in patients with compromised lung structures or pre-existing lung conditions. By increasing intrathoracic pressure, PEEP can exacerbate air leaks from damaged alveoli or pleural surfaces. However, in a well-managed patient without underlying lung issues, the risk of PEEP causing a pneumothorax is generally low. Monitoring and careful adjustment of PEEP settings are essential to minimize this risk.