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Case 17 — After recruitment

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Case 17 — After recruitment

Handover

Trauma, 12 litres of product, now labeled “ARDS.” Pplat 36, PEEP 14, oliguria, tense abdomen. The night team already did a recruitment manoeuvre. Bladder pressure has not been measured.

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

  • · IAP measured
  • · Abdomen decompressed
  • · IAP ≤ 15
  • · Pplat ≤ 30