An old patient with respiratory distress in PSV mode

Last update: Monday, 31 Jul 2017 at 15:06

A 65-year-old patient with Chronic Obstructive Pulmonary Disease (COPD) is on pressure support ventilation (PSV) mode. He presents respiratory distress, using the accessory muscles of breathing and showing asynchrony with the ventilator. Which adjustment would be advisable, based on the ventilation curves below?



a) Increase PEEP
b) Increase pressure support (PS)
c) Increase the “rise time”
d) Increase the cycling off criterion (%flow)

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