Cases/

Case 02 — Overnight pressure alarm

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VCintro6 min

Case 02 — Overnight pressure alarm

Handover

Night of a COPD admission. PIP climbed from 28 to 44. The fellow is reaching to drop VT. Inspiratory flow still looks square, the pressure rise is steep at the start of the breath, and you have not done a hold.

Uncorrected hypoxemia, auto-PEEP shock, tension, or abdominal compartment progresses to pre-arrest, then a fail. Read the scalars before you turn a knob.

Goals

  • · Inspiratory hold done
  • · ETT suctioned
  • · PIP ≤ 32