Which of the following situations is most likely to call for ventilator settings of low volume and high rate while allowing for permissive hypercapnia?

a. Patient with ARDS
b. Patient with neuromuscular disease
c. Patient with chronic obstructive pulmo-nary disease
d. Child with croup


ANS: A
Ventilation strategies for lung protection in ARDS include a low VT, rapid respiratory rates, and permissive hypercapnia if necessary to avoid overdistention or Pplat greater than 28 cm H2O.

Health Professions

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