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Respiratory Failure & Mechanical Ventilation

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Pressure control ventilation:

Same patient on APVcmv ( pressure regulation):


Noor Ali Shah
Dr.Yasser Alwali
Mazen Kherallah
Mazen Kherallah
3 days ago

There is double triggered breaths in both P-CMV AND APVcmv (pressure regulation) modes. The first breath is machine triggered (time) and the second one is patient triggered but before full exhalation resulted in large tidal volume and autoPEEP.

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Please your comments


Fedail Elsanousi
Mazen Kherallah
Noor Ali Shah
Manar  Ismail
Mazen Kherallah
Mazen Kherallah
6 days ago

Increased airway resistance with persistent flow at end of expiration indicating auto PEEP

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Notice that what it seems to be a right pneumothorax is actually bullae on the CT scan. Let pneumothorax is under pressure and chest tube was inserted!

However, on the CT scan taken post chest tube insertion, it seems that the tube is introduced into the lung!


Ibrahim Ameen
Dr.Yasser Alwali
Noor Ali Shah
Dr Haseeb Trabulsi

Was the chest tube draining anything?

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Tight squeeze of ETT through edematous cords! You can see evaporation nicely confirming position!

Mouhmad Jamil
Ibrahim Ameen
suray Bakkar
Dr.Yasser Alwali
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