ARDS Patient is on APVcmv (pressure regulation) with TV of 400, PEEP of 8 and RR of 20. Esophageal pressure monitoring shows expiratory transpulmonary pressure of -6 indicating the need to increase PEEP from 8 to at least 14. The goal of the expiratory transpulmonary pressure is to be maintained at 0-5 cm H2O.
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