# Episode 314: Optimizing PEEP and Keeping Lungs Open in the ICU with Thomas Piraino and Brandon Oto Page: https://stenobird.com/podcast/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493/episode-314-optimizing-peep-and-keeping-lungs-open-in-the-icu-with-thomas-piraino-and-brandon-oto Text version: https://stenobird.com/podcast/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493/episode-314-optimizing-peep-and-keeping-lungs-open-in-the-icu-with-thomas-piraino-and-brandon-oto.md Podcast: [Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast](https://stenobird.com/podcast/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493) Published: 2025-08-10T10:30:00+00:00 Episode link: http://accrac.com/ Audio file: https://audio2.redcircle.com/episodes/c02809fa-7077-43e8-b01f-33271c6a49ef/stream.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493/episodes/episode-314-optimizing-peep-and-keeping-lungs-open-in-the-icu-with-thomas-piraino-and-brandon-oto Duration seconds: 4363 ## Resource 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 BetterHelp and use my code betterhelp.com for a great deal: https://www.betterhelp.com * Check out FIGS and use my code FIGSRX for a great deal: https://wearfigs.com * Check out Factor and use my code factormeals.com/accrac50off for a great deal: https://www.factor75.com * Check out Kiwi Biosciences and use my code icaneatagain.com/ACCRAC for a great deal: https://www.kiwibiosciences.com * Check out Quince and use my code quince.com/accrac for a great deal: https://www.quince.com Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493/episodes/episode-314-optimizing-peep-and-keeping-lungs-open-in-the-icu-with-thomas-piraino-and-brandon-oto/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/anesthesia-and-critical-care-reviews-and-commentary-accrac-podcast-323493/episode-314-optimizing-peep-and-keeping-lungs-open-in-the-icu-with-thomas-piraino-and-brandon-oto.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.