Cases/

Case 16 — After a PEEP change

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Case 16 — After a PEEP change

Handover

Moderate ARDS, PEEP 16, Pplat acceptable, SpO₂ 94%. MAP 54, CVP 18, lactate climbing. From the doorway the RV looks large and the LV looks small.

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

  • · Echo done
  • · RV supported
  • · PEEP eased ≤ 12
  • · MAP ≥ 64