Handover
PACU after a sevoflurane laparotomy. The transport ventilator is still in use and still smells like gas. EtCO₂ 70, temp 40.1, dark urine, lactate 5.4. They have already turned the rate up once.
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