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 FIO2 0,5 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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