xlung

We’ve just released a new clinical case on the Xlung Trainer designed to challenge your ability to detect respiratory muscle effort in ARDS.

💡 Clinical relevance:
Even under deep sedation, patients with ARDS may present unexpected inspiratory effort, which can worsen lung injury if not recognized early.

🧩 Clinical Scenario

A 64-year-old man (1.70 m) is on day 2 of invasive mechanical ventilation due to ARDS secondary to pneumonia.

Despite continuous sedation (RASS -5), he presents:

• Worsening oxygenation (↑ FiO₂ requirement)
• Negative deflections in the airway pressure curve
• Signs of active inspiratory effort and possible asynchrony 

🧠 What you will learn

✅ Recognition of inspiratory effort during controlled ventilation
✅ Interpretation of ΔPocc as a surrogate of Pmus
✅ Clinical reasoning in P-SILI prevention
✅ Decision-making in deeply sedated ARDS patients

🔗 Access here:

Patient with ARDS on the second day of protective mechanical ventilation: what is the respiratory muscle effort (Pmus)?

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

😉 Enjoy your simulation!