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Respiratory Failure & Mechanical Ventilation

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Inspiratory hold maneuver

ree

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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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

Ketamine or Etomidate for Tracheal Intubation of Critically Ill Adults | New England Journal of Medicine


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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Dr Maheen MunirDr Maheen Munir
Dr Maheen Munir

I completed Advanced Mechanical Ventilation Concepts!

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What do you think of this asynchrony?

ree

155 Views
Mazen Kherallah
Mazen Kherallah
Dec 16, 2025

Actually, the patient has tremendous inspiratory efforts, the first set of breaths is triple triggering, the second set is double triggering.

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