Discussion Forum


MV Challenge - A patient with ARDS and asynchrony

By: Marcelo Alcantara, Médico - 01/23/2019 19:09

- A physician is called to evaluate a patient with ARDS due to peritonitis after bariatric surgery.  

- He is sedated (RASS = -3), hemodynamic stable and with a distended abdomen.

- Vent. parameters

  PCV mode FIO0,5  f 18bpm Ti 0,9s  PEEP 12cmH2O

  PmaxVA 24cmH2O   P. above PEEP 12cmH2O

- See below the pattern of the ventilator curves that were present repeatedly.

1. What is happening?

2. What would you do to solve the problem?


PS.: MV challenge sent by

Prof. Dr. Bruno do Valle Pinheiro, MD, Ph.D

Federal University of Juiz de Fora, MG, Brazil


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