CPintro6 min
Ready to step the P-level down?
Handover
Day 4 after a loaded anterior MI. Native output is back, MAP 78 off pressors, lactate 1.3, CPO 0.92, still sitting at P-8 because “it is going so well.” Echo: AV opening, LV not dilating. Structured wean. Not a yank at P-8.
Uncorrected shock, suction, or a misplaced inlet progresses to pre-arrest, then a fail.
Goals
- · P-level ≤ 3
- · Wean trial tolerated