Patient with a chest tube
Hello everyone,
I would like to share this ventlator graphic with you
What is going on?
What is the best mode for this case?
Do you think SBT is possible?
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Respiratory Failure & Mechanical Ventilation
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Inspiratory hold maneuver
The above inspiratory hold screenshot may indicate all of the following except:
0%Pulmonary edema
0%Pneumothorax
0%Abdominal compartment syndrome
0%Bronchospasm
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Mazen Kherallah
Jan 05
So the plateau pressure is high indicating low compliance that you see in all listed conditions except bronchospasm
The RSI Trial
Practical Applications in Clinical Practice
1. No Mortality Benefit
The trial found no statistically significant difference in 28-day in-hospital mortality between ketamine (28.1%) and etomidate (29.1%) groups (adjusted risk difference −0.8%, 95% CI −4.5 to 2.9; P = 0.65).
Implication: Either agent may be appropriate from a mortality standpoint, allowing clinicians to prioritize other patient-specific factors.
2. Risk Stratification
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I completed Advanced Mechanical Ventilation Concepts!
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Thanks for sharing this ventilation graph. The is PRVC mode. It is noted that patient on mandatory RR 12/ min with 430 ml VTi and I: E ratio 1:2.0 but patient is tachycapnoec, RR 30/ min, it is reversed 1.9: 1 ratio, compromised expiration time, and dynamic compliance 15.9*
I believe that patient in volume trapping?
I will recommend to put him either ASV or AMV mode ( Adapted Support ventilation) according to ventilation options available. Either put him on spontaneous mode before proceeding SBT.
Hopefully I will get a passing score.😀