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🫁🔍 New exercise available in Xlung Trainer – Managing the tidal volume alarm in PCV mode

By: BETINA SANTOS TOMAZ, FISIOTERAPEUTA - 11/13/2025 17:00

Proper adjustment of tidal volume (VT) alarms is essential to ensure safety and effectiveness during mechanical ventilation, especially when managing patients under a lung-protective strategy in pressure-controlled ventilation (PCV). This exercise invites you to analyze a realistic scenario and apply clinical reasoning to set appropriate VT alarm limits.

📌 Clinical Case
A 41-year-old woman (height: 1.68 m) sustained blunt chest trauma with pulmonary contusion after a 4-meter fall. She remains on mechanical ventilation and meets criteria for ARDS, for which a lung-protective strategy has been initiated.
While on PCV mode, the ventilator triggered the low tidal volume alarm.

In this exercise, you will:
✅ Adjust VT alarm limits according to predicted body weight and lung-protective ventilation recommendations.
✅ Discuss how proper alarm settings enhance safety and support early detection of ventilatory changes.
✅ Develop clinical reasoning and decision-making skills when responding to VT-related alarms.

🔗 Access here: Managing Tidal Volume Alarms in PCV Mode

📵 Important: This exercise is not suitable for mobile devices. For the best experience, use a laptop or desktop computer.

💬 Enjoy your simulation!



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