A patient with pulmonary fibrosis and respiratory discomfort in the pressure support mode (PSV)




Last update: Wednesday, 28 Sep 2016 at 17:10

A 79-yeard-old man with pulmonary fibrosis was admitted in the ICU for acute hypoxemic respiratory failure that required intubation and mechanical ventilation. After some clinical improvement he was lightly sedated and ventilated in the pressure support mode (PSV) with the following settings: PS:8cmH2O, cycling off of 25% of the peak inspiratory flow and PEEP:10cmH2O. The use of accessory muscles of respiration was clinically evident and the curves on the ventilator display are shown bellow.

Xlung quiz

Source: www.xlung.net

Which of the following would be the most appropriate adjustments of the PSV mode?
a) Reduction of the rise time
b) Increase of the rise time
c) Reduction of the cycling off criterion (% peak inspiratory flow)
d) Increase of the cycling off criterion (% peak inspiratory flow)

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