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Case 15 — Persistent bubbling

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Case 15 — Persistent bubbling

Handover

Day 4 after necrotising pneumonia. A chest tube is already in and bubbling with every breath. Inspired VT 480, expired 180. PEEP will not hold. The FV loop is open.

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

  • · PEEP ≤ 8
  • · VT ≤ 6.5 mL/kg
  • · Circuit / leak source confirmed