A 30-year-old man is intubated at the scene after falling down stairs while intoxicated. In the ED, the registrar has difficulty ventilating him: airway pressures are high and the ventilator terminates inspiration at a tidal volume of 150 mL. You suspect aspiration lung injury.
Severe aspiration is confirmed. His pulse is 110/min, BP 110/70 mmHg, oxygen saturation 88%, and ABG shows pO2 55 mmHg and pCO2 65 mmHg. Ventilator settings are volume control, FiO2 1.0, tidal volume 500 mL, RR 12/min, PEEP 5 cmH2O, pressure limit 35 cmH2O, and I:E ratio 1:2.
List five other causes of this ventilation problem.
(Marked out of 5.0)
/ 5
List your initial actions to determine the cause.
(Marked out of 5.0)
/ 5
List three ventilator setting changes to improve oxygenation, and one adverse effect of each.
(Marked out of 6.0)
/ 6
Total Score: 0 / 16
Percentage: 0%
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