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A 50-year-old man was admitted to the ICU with dyspnea, runny nose, sore throat and fever for 3 days. On physical examination, he presented tachypnea (RR: 26bpm), HR: 110bpm, PA: bronchial sound in lung basis, pH: 7.48,...
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A 55-year-old female patient was admitted to the emergency room about 8 hours ago due to severe community-acquired pneumonia. Her chest X-ray shows bilateral interstitial-alveolar infiltrates with air bronchogram. She was intubated. Ventilator settings, such as ventilation...
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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,...
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A 77 year-old woman, requiring intubation and mechanical ventilation (Servo S - Maquet) was on VCV mode with "ramp wave" format flow. Sensitivity: 2l/min. Diagnosis: Septic shock, but stable arterial pressure. VT was programmed to 6ml/kg: 300ml...
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A 16-year-old boy was admitted at the emergency room with asthma exacerbation. He presented RR: 28 bpm, BP: 145x90mmHg, using accessory muscles of respiration, no cyanosis, anxious, slightly agitated, speaking complete sentences, with slight dizziness. Pulmonary auscultation...
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A 76-yeard-old man with acute respiratory failure was mechanically ventilated on volume controlled ventilation (VCV). The respiratory therapist noted the following curves and parameters on the ventilator display. Source: Marcelo A Holanda ICU Monte Klinikum Hospital Fortaleza,...
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What type of asynchrony is this?
2021-10-13A 78-year-old man with acute respiratory distress syndrome (ARDS) was mechanically ventilated on volume controlled ventilation (VCV). The attending physician noted the following curves on the ventilator display. Source: Marcelo A Holanda ICU Monte Klinikum Hospital Fortaleza,...
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A 72 year old woman with aspiration pneumonia was mechanically ventilated on pressure controlled ventilation (PCV). The attending physician noted respiratory discomfort and the following curves were seen on ventilator's screen. The pulmonary auscultation revealed no adventitious...
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A patient with pulmonary fibrosis and respiratory distress in the pressure support mode (PSV)
2021-10-13A 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...