Cases/

Case 05 — Obstructed night

VCintro00:00Score 100
VCintro7 min

Case 05 — Obstructed night

Handover

Severe COPD on VC. Set RR 22, I:E nearly 1:1 after someone lengthened Ti “for oxygenation.” Expiratory flow never returns to zero. MAP 64 and falling. EtCO₂ is rising.

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

  • · Expiratory hold done
  • · Bronchodilator given
  • · Set RR ≤ 16
  • · Auto-PEEP ≤ 5