Management of ARDS!
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Respiratory Failure & Mechanical Ventilation
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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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Noor Ali Shah
Jan 26
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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.
Either it is double triggering ?
Hopefully I will get a passing score.😀
Edited
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
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Excellent approach and Sir appreciated 👍